| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2005 |
Non-emergency transportation; stretcher van |
3,864 |
1,269 |
$1.18M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
13,317 |
4,056 |
$1.01M |
| A0425 |
Ground mileage, per statute mile |
23,071 |
10,339 |
$813K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,106 |
3,856 |
$349K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,524 |
2,919 |
$305K |
| A0130 |
Non-emergency transportation: wheelchair van |
1,391 |
200 |
$87K |
| T2003 |
Non-emergency transportation; encounter/trip |
2,930 |
364 |
$86K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
573 |
101 |
$39K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
3,864 |
1,269 |
$8K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
141 |
105 |
$4K |
| S0215 |
Non-emergency transportation; mileage, per mile |
219 |
38 |
$3K |