| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
36,543 |
9,741 |
$4.41M |
| A0130 |
Non-emergency transportation: wheelchair van |
32,629 |
8,333 |
$1.04M |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
14,515 |
5,459 |
$509K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
3,696 |
1,402 |
$146K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
2,280 |
1,209 |
$14K |
| T2005 |
Non-emergency transportation; stretcher van |
20 |
16 |
$3K |
| A0999 |
Unlisted ambulance service |
15 |
12 |
$421.00 |