| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0380 |
Bls mileage (per mile) |
12,441 |
4,304 |
$1.06M |
| A0425 |
Ground mileage, per statute mile |
6,925 |
2,231 |
$719K |
| A0130 |
Non-emergency transportation: wheelchair van |
12,688 |
4,339 |
$420K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
3,692 |
1,687 |
$170K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
2,798 |
1,318 |
$124K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
7,170 |
2,262 |
$101K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,672 |
371 |
$19K |