| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2005 |
Non-emergency transportation; stretcher van |
10,127 |
4,297 |
$948K |
| A0425 |
Ground mileage, per statute mile |
19,061 |
12,565 |
$673K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,375 |
4,617 |
$401K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,637 |
3,316 |
$386K |
| A0130 |
Non-emergency transportation: wheelchair van |
10,725 |
1,055 |
$132K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
8,466 |
4,549 |
$102K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
10,114 |
4,287 |
$38K |
| S0215 |
Non-emergency transportation; mileage, per mile |
856 |
186 |
$21K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,271 |
1,071 |
$16K |