| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
104,881 |
7,647 |
$3.10M |
| A0380 |
Bls mileage (per mile) |
84,538 |
7,250 |
$1.85M |
| A0425 |
Ground mileage, per statute mile |
35,612 |
2,980 |
$1.11M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
25,803 |
2,186 |
$255K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
34,872 |
2,907 |
$215K |
| S0209 |
Wheelchair van, mileage, per mile |
2,729 |
331 |
$60K |
| T2005 |
Non-emergency transportation; stretcher van |
45 |
12 |
$8K |