| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2005 |
Non-emergency transportation; stretcher van |
25,204 |
18,969 |
$2.62M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
14,079 |
11,858 |
$765K |
| A0390 |
Als mileage (per mile) |
28,019 |
19,262 |
$589K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,264 |
3,050 |
$355K |
| A0425 |
Ground mileage, per statute mile |
4,686 |
4,240 |
$191K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
892 |
856 |
$139K |
| A0130 |
Non-emergency transportation: wheelchair van |
7,322 |
3,017 |
$120K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
3,599 |
3,074 |
$80K |
| A0380 |
Bls mileage (per mile) |
4,139 |
3,885 |
$67K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
1,701 |
1,667 |
$31K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
359 |
256 |
$3K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
224 |
117 |
$3K |
| A0999 |
Unlisted ambulance service |
223 |
185 |
$2K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
14 |
13 |
$870.00 |
| A0430 |
Ambulance service, conventional air services, transport, one way (fixed wing) |
67 |
61 |
$762.00 |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
12 |
12 |
$332.88 |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
283 |
221 |
$247.47 |
| A0382 |
Bls routine disposable supplies |
600 |
572 |
$100.00 |