| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2005 |
Non-emergency transportation; stretcher van |
7,353 |
4,137 |
$4.51M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
334 |
173 |
$390K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
514 |
373 |
$252K |
| A0425 |
Ground mileage, per statute mile |
1,096 |
670 |
$14K |
| A0130 |
Non-emergency transportation: wheelchair van |
45 |
15 |
$4K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
7,353 |
4,137 |
$44.80 |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
81 |
70 |
$0.00 |