| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
34,728 |
11,596 |
$811K |
| A0425 |
Ground mileage, per statute mile |
38,531 |
13,248 |
$315K |
| T2003 |
Non-emergency transportation; encounter/trip |
11,779 |
1,646 |
$205K |
| A0130 |
Non-emergency transportation: wheelchair van |
1,874 |
327 |
$47K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
906 |
527 |
$39K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
204 |
160 |
$10K |
| A0380 |
Bls mileage (per mile) |
930 |
302 |
$9K |
| T2005 |
Non-emergency transportation; stretcher van |
34 |
27 |
$8K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
883 |
259 |
$3K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
48 |
39 |
$2K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
100 |
74 |
$1K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
34 |
27 |
$579.98 |