| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
11,682 |
1,063 |
$4.11M |
| A0425 |
Ground mileage, per statute mile |
23,483 |
1,675 |
$1.57M |
| T2005 |
Non-emergency transportation; stretcher van |
10,718 |
662 |
$325K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
10,795 |
673 |
$86K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
10,643 |
672 |
$17K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
505 |
54 |
$10K |
| A0130 |
Non-emergency transportation: wheelchair van |
507 |
54 |
$4K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
508 |
54 |
$4K |