| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0380 |
Bls mileage (per mile) |
40,119 |
8,015 |
$2.31M |
| T2005 |
Non-emergency transportation; stretcher van |
9,030 |
2,189 |
$2.15M |
| A0425 |
Ground mileage, per statute mile |
23,064 |
3,076 |
$1.34M |
| A0130 |
Non-emergency transportation: wheelchair van |
33,952 |
6,382 |
$977K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
22,166 |
2,220 |
$227K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
23,202 |
3,050 |
$206K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
2,496 |
1,494 |
$63K |
| S0209 |
Wheelchair van, mileage, per mile |
170 |
12 |
$3K |