| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
26,738 |
3,331 |
$1.51M |
| T2005 |
Non-emergency transportation; stretcher van |
5,723 |
750 |
$769K |
| S0209 |
Wheelchair van, mileage, per mile |
25,285 |
3,377 |
$606K |
| A0380 |
Bls mileage (per mile) |
6,613 |
580 |
$178K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
7,081 |
880 |
$135K |
| A0999 |
Unlisted ambulance service |
815 |
84 |
$97K |
| A0998 |
Ambulance response and treatment, no transport |
691 |
473 |
$37K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
509 |
404 |
$11K |
| A0425 |
Ground mileage, per statute mile |
125 |
13 |
$5K |