| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
11,622,505 |
1,242,124 |
$234.40M |
| T2005 |
Non-emergency transportation; stretcher van |
953,200 |
119,575 |
$125.78M |
| A0380 |
Bls mileage (per mile) |
1,256,778 |
309,218 |
$102.78M |
| T2003 |
Non-emergency transportation; encounter/trip |
3,369,095 |
263,886 |
$53.18M |
| A0100 |
Non-emergency transportation; taxi |
6,140,465 |
840,680 |
$50.23M |
| A0130 |
Non-emergency transportation: wheelchair van |
1,619,783 |
145,009 |
$40.65M |
| T2004 |
Non-emergency transport; commercial carrier, multi-pass |
1,206,779 |
290,593 |
$30.84M |
| A0390 |
Als mileage (per mile) |
144,041 |
23,363 |
$27.72M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
90,325 |
57,694 |
$17.88M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
81,842 |
12,154 |
$15.68M |
| A0434 |
Specialty care transport (sct) |
29,266 |
9,473 |
$14.95M |
| S0215 |
Non-emergency transportation; mileage, per mile |
42,069 |
18,626 |
$5.89M |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
29,397 |
10,650 |
$1.82M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
7,306 |
7,016 |
$1.60M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
8,064 |
5,755 |
$301K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
3,713 |
1,847 |
$149K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
1,330 |
777 |
$92K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
113 |
24 |
$9K |