| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
20,210 |
3,994 |
$1.49M |
| T2005 |
Non-emergency transportation; stretcher van |
7,622 |
775 |
$1.04M |
| T2003 |
Non-emergency transportation; encounter/trip |
40,420 |
5,782 |
$986K |
| S0215 |
Non-emergency transportation; mileage, per mile |
28,054 |
6,201 |
$721K |
| A0425 |
Ground mileage, per statute mile |
22,944 |
5,867 |
$519K |
| A0130 |
Non-emergency transportation: wheelchair van |
10,308 |
1,795 |
$262K |
| A0100 |
Non-emergency transportation; taxi |
6,231 |
1,210 |
$152K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,231 |
1,100 |
$129K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
18,709 |
3,724 |
$102K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
615 |
502 |
$44K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
1,307 |
684 |
$28K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
248 |
180 |
$4K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
7,623 |
776 |
$4K |