| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
55,144 |
5,548 |
$2.91M |
| T2005 |
Non-emergency transportation; stretcher van |
19,846 |
2,736 |
$2.52M |
| S0209 |
Wheelchair van, mileage, per mile |
42,421 |
4,153 |
$907K |
| A0425 |
Ground mileage, per statute mile |
29,937 |
3,654 |
$512K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
2,253 |
1,445 |
$141K |
| A0999 |
Unlisted ambulance service |
858 |
152 |
$28K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
662 |
115 |
$0.00 |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
36 |
12 |
$0.00 |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
30 |
26 |
$0.00 |