| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2005 |
Non-emergency transportation; stretcher van |
14,722 |
3,381 |
$1.58M |
| A0425 |
Ground mileage, per statute mile |
70,435 |
4,260 |
$1.38M |
| A0380 |
Bls mileage (per mile) |
67,980 |
7,913 |
$1.38M |
| A0130 |
Non-emergency transportation: wheelchair van |
56,120 |
5,513 |
$842K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
14,625 |
3,293 |
$292K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
72,497 |
4,365 |
$223K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
19,782 |
2,348 |
$198K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
1,023 |
585 |
$30K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
336 |
271 |
$3K |