| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
56,895 |
18,972 |
$6.64M |
| A0130 |
Non-emergency transportation: wheelchair van |
49,177 |
14,927 |
$2.01M |
| A0999 |
Unlisted ambulance service |
23,039 |
7,848 |
$1.80M |
| T2005 |
Non-emergency transportation; stretcher van |
7,973 |
4,436 |
$1.46M |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
12,020 |
4,996 |
$790K |
| T2003 |
Non-emergency transportation; encounter/trip |
16,500 |
5,293 |
$311K |
| A0390 |
Als mileage (per mile) |
4,396 |
2,255 |
$266K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
4,431 |
2,276 |
$161K |