| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2005 |
Non-emergency transportation; stretcher van |
43,172 |
4,667 |
$7.66M |
| A0130 |
Non-emergency transportation: wheelchair van |
192,919 |
14,463 |
$7.53M |
| S0209 |
Wheelchair van, mileage, per mile |
210,456 |
17,003 |
$5.32M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,015 |
891 |
$300K |
| A0999 |
Unlisted ambulance service |
9,107 |
1,436 |
$249K |
| A0998 |
Ambulance response and treatment, no transport |
2,240 |
1,314 |
$120K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
9,500 |
2,067 |
$113K |
| A0425 |
Ground mileage, per statute mile |
1,239 |
1,103 |
$101K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
3,039 |
1,814 |
$96K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
5,322 |
1,708 |
$85K |
| A0434 |
Specialty care transport (sct) |
37 |
36 |
$34K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
68 |
68 |
$23K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
22,308 |
1,200 |
$706.50 |