| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2003 |
Non-emergency transportation; encounter/trip |
906,953 |
136,602 |
$24.21M |
| S0215 |
Non-emergency transportation; mileage, per mile |
148,038 |
26,081 |
$2.08M |
| A0380 |
Bls mileage (per mile) |
5,264 |
2,785 |
$854K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
17,662 |
5,162 |
$807K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
227,733 |
34,065 |
$566K |
| A0425 |
Ground mileage, per statute mile |
13,075 |
3,223 |
$442K |
| A0130 |
Non-emergency transportation: wheelchair van |
14,637 |
1,557 |
$386K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
11,900 |
912 |
$206K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,251 |
669 |
$68K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
7,555 |
420 |
$19K |
| S0209 |
Wheelchair van, mileage, per mile |
2,729 |
334 |
$14K |
| A0434 |
Specialty care transport (sct) |
224 |
113 |
$10K |