| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
72,471 |
5,410 |
$2.06M |
| A0380 |
Bls mileage (per mile) |
66,075 |
6,420 |
$1.57M |
| T2005 |
Non-emergency transportation; stretcher van |
3,594 |
1,015 |
$654K |
| A0425 |
Ground mileage, per statute mile |
10,879 |
990 |
$341K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
15,566 |
1,513 |
$156K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
3,597 |
1,017 |
$131K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
10,877 |
990 |
$41K |