| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2005 |
N-et; stretcher van |
25,204 |
18,969 |
$2.62M |
| A0428 |
Bls |
14,079 |
11,858 |
$765K |
| A0390 |
Advanced life support mileag |
28,019 |
19,262 |
$589K |
| A0427 |
Als1-emergency |
3,264 |
3,050 |
$355K |
| A0425 |
Ground mileage |
4,686 |
4,240 |
$191K |
| A0429 |
Bls-emergency |
892 |
856 |
$139K |
| A0130 |
Noner transport wheelch van |
7,322 |
3,017 |
$120K |
| T2007 |
Non-emer transport wait time |
3,599 |
3,074 |
$80K |
| A0380 |
Basic life support mileage |
4,139 |
3,885 |
$67K |
| A0420 |
Ambulance waiting 1/2 hr |
1,701 |
1,667 |
$31K |
| A0422 |
Ambulance 02 life sustaining |
359 |
256 |
$3K |
| A0080 |
Noninterest escort in non er |
224 |
117 |
$3K |
| A0999 |
Unlisted ambulance service |
223 |
185 |
$2K |
| A0120 |
Noner transport mini-bus |
14 |
13 |
$870.00 |
| A0430 |
Fixed wing air transport |
67 |
61 |
$762.00 |
| A0424 |
Extra ambulance attendant |
12 |
12 |
$332.88 |
| T2049 |
N-et; stretcher van, mileage |
283 |
221 |
$247.47 |
| A0382 |
Basic support routine suppls |
600 |
572 |
$100.00 |