| Code | Description | Claims | Beneficiaries | Total Paid |
| T2005 |
Non-emergency transportation; stretcher van |
7,912 |
3,585 |
$1.60M |
| A0380 |
Bls mileage (per mile) |
10,584 |
4,664 |
$515K |
| A0130 |
Non-emergency transportation: wheelchair van |
4,206 |
1,891 |
$96K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
1,727 |
1,185 |
$34K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
771 |
473 |
$25K |
| A0425 |
Ground mileage, per statute mile |
529 |
125 |
$18K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,264 |
391 |
$13K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
691 |
166 |
$8K |