| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Noner transport wheelch van |
632,614 |
73,999 |
$17.65M |
| T2005 |
N-et; stretcher van |
98,866 |
13,773 |
$7.28M |
| A0110 |
Nonemergency transport bus |
782,506 |
38,609 |
$6.19M |
| S0215 |
Nonemerg transp mileage |
879,802 |
44,234 |
$4.79M |
| S0209 |
Wc van mileage per mi |
629,740 |
73,841 |
$4.12M |
| A0100 |
Nonemergency transport taxi |
501,035 |
36,320 |
$3.94M |
| A0999 |
Unlisted ambulance service |
34,445 |
9,571 |
$3.53M |
| A0425 |
Ground mileage |
427,880 |
32,889 |
$3.51M |
| A0428 |
Bls |
7,153 |
1,472 |
$2.03M |
| A0424 |
Extra ambulance attendant |
49,114 |
7,249 |
$1.49M |
| T2049 |
N-et; stretcher van, mileage |
98,338 |
13,753 |
$265K |
| A0090 |
Interest escort in non er |
7,332 |
1,209 |
$76K |
| A0422 |
Ambulance 02 life sustaining |
1,268 |
359 |
$21K |
| A0426 |
Als 1 |
32 |
15 |
$18K |
| A0380 |
Basic life support mileage |
190 |
66 |
$16K |
| A0420 |
Ambulance waiting 1/2 hr |
112 |
53 |
$13K |
| A0170 |
Transport parking fees/tolls |
577,694 |
44,956 |
$6K |
| T2003 |
N-et; encounter/trip |
75,692 |
25,062 |
$4K |
| A0382 |
Basic support routine suppls |
102 |
26 |
$262.93 |