| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
8,485 |
357 |
$1.23M |
| T2005 |
Non-emergency transportation; stretcher van |
3,238 |
1,079 |
$439K |
| A0380 |
Bls mileage (per mile) |
3,539 |
1,126 |
$151K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
3,252 |
1,081 |
$67K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
8,523 |
372 |
$59K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,051 |
256 |
$21K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
599 |
403 |
$14K |
| A0130 |
Non-emergency transportation: wheelchair van |
407 |
170 |
$6K |