| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
19,254 |
2,738 |
$1.28M |
| T2005 |
Non-emergency transportation; stretcher van |
8,028 |
1,760 |
$1.05M |
| A0425 |
Ground mileage, per statute mile |
24,982 |
3,824 |
$696K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
2,493 |
520 |
$120K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
713 |
278 |
$105K |
| S0209 |
Wheelchair van, mileage, per mile |
472 |
109 |
$19K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
407 |
284 |
$12K |
| A0999 |
Unlisted ambulance service |
798 |
124 |
$7K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
78 |
49 |
$3K |