| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
187,893 |
24,627 |
$12.11M |
| S0209 |
Wheelchair van, mileage, per mile |
179,511 |
22,396 |
$7.33M |
| T2005 |
Non-emergency transportation; stretcher van |
37,968 |
5,050 |
$6.63M |
| A0999 |
Unlisted ambulance service |
28,682 |
4,615 |
$2.25M |
| A0380 |
Bls mileage (per mile) |
13,285 |
2,860 |
$960K |
| A0425 |
Ground mileage, per statute mile |
31,070 |
4,935 |
$724K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,567 |
958 |
$358K |
| A0998 |
Ambulance response and treatment, no transport |
6,373 |
4,167 |
$271K |
| A0390 |
Als mileage (per mile) |
2,115 |
794 |
$239K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
3,109 |
624 |
$119K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
1,427 |
850 |
$110K |
| T2003 |
Non-emergency transportation; encounter/trip |
1,610 |
318 |
$80K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
2,407 |
1,730 |
$79K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
38 |
31 |
$1K |