| Code | Description | Claims | Beneficiaries | Total Paid |
| T2005 |
Non-emergency transportation; stretcher van |
12,760 |
1,317 |
$587K |
| A0130 |
Non-emergency transportation: wheelchair van |
20,728 |
2,675 |
$481K |
| A0380 |
Bls mileage (per mile) |
29,519 |
2,997 |
$393K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
16,751 |
3,196 |
$359K |
| A0425 |
Ground mileage, per statute mile |
7,539 |
1,185 |
$193K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
33,221 |
3,195 |
$178K |
| A0434 |
Specialty care transport (sct) |
700 |
78 |
$84K |
| A0999 |
Unlisted ambulance service |
55 |
13 |
$4K |