| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2005 |
Non-emergency transportation; stretcher van |
70,661 |
11,755 |
$10.48M |
| A0130 |
Non-emergency transportation: wheelchair van |
219,227 |
23,705 |
$10.24M |
| S0209 |
Wheelchair van, mileage, per mile |
269,975 |
30,758 |
$6.34M |
| T2001 |
Non-emergency transportation; patient attendant/escort |
30,235 |
4,048 |
$912K |
| A0999 |
Unlisted ambulance service |
8,514 |
1,531 |
$452K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
5,399 |
4,008 |
$205K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
2,610 |
535 |
$131.00 |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
1,720 |
576 |
$130.00 |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
655 |
148 |
$40.00 |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
9,013 |
1,568 |
$8.00 |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
109 |
101 |
$0.00 |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
278 |
195 |
$0.00 |
| K0001 |
Standard wheelchair |
16 |
15 |
$0.00 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
155 |
67 |
$0.00 |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
16 |
15 |
$0.00 |