| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
99,902 |
30,279 |
$11.61M |
| A0380 |
Bls mileage (per mile) |
120,247 |
27,571 |
$6.26M |
| A0130 |
Non-emergency transportation: wheelchair van |
117,343 |
24,794 |
$4.15M |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
106,605 |
22,981 |
$2.49M |
| T2001 |
Non-emergency transportation; patient attendant/escort |
113,114 |
24,912 |
$1.22M |
| T2005 |
Non-emergency transportation; stretcher van |
4,015 |
906 |
$966K |
| A0999 |
Unlisted ambulance service |
16,852 |
8,078 |
$244K |
| A0425 |
Ground mileage, per statute mile |
2,449 |
415 |
$139K |
| S0209 |
Wheelchair van, mileage, per mile |
771 |
117 |
$38K |
| A0390 |
Als mileage (per mile) |
99,858 |
30,271 |
$1K |