| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2005 |
Non-emergency transportation; stretcher van |
10,883 |
3,024 |
$3.06M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
16,035 |
5,375 |
$2.06M |
| A0425 |
Ground mileage, per statute mile |
18,856 |
7,258 |
$798K |
| T2003 |
Non-emergency transportation; encounter/trip |
6,678 |
886 |
$156K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
207 |
106 |
$140K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,221 |
886 |
$67K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
647 |
509 |
$47K |
| A0130 |
Non-emergency transportation: wheelchair van |
1,640 |
322 |
$46K |
| A0100 |
Non-emergency transportation; taxi |
2,678 |
544 |
$44K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
10,851 |
3,018 |
$32K |
| S0215 |
Non-emergency transportation; mileage, per mile |
1,660 |
379 |
$23K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
2,100 |
382 |
$12K |