| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0380 |
Bls mileage (per mile) |
112,671 |
15,714 |
$4.08M |
| A0130 |
Non-emergency transportation: wheelchair van |
106,462 |
14,335 |
$3.09M |
| A0425 |
Ground mileage, per statute mile |
79,648 |
8,043 |
$2.71M |
| T2005 |
Non-emergency transportation; stretcher van |
9,920 |
1,747 |
$2.43M |
| T2001 |
Non-emergency transportation; patient attendant/escort |
79,606 |
8,020 |
$674K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
54,921 |
5,135 |
$549K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
8,892 |
1,538 |
$181K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
868 |
658 |
$18K |
| A0390 |
Als mileage (per mile) |
21 |
21 |
$0.00 |