| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2005 |
Non-emergency transportation; stretcher van |
53,645 |
7,131 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
159 |
46 |
$0.00 |
| A0380 |
Bls mileage (per mile) |
2,184 |
192 |
$0.00 |
| T2001 |
Non-emergency transportation; patient attendant/escort |
66 |
22 |
$0.00 |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
2,906 |
661 |
$0.00 |
| S0215 |
Non-emergency transportation; mileage, per mile |
64,611 |
7,783 |
$0.00 |
| A0130 |
Non-emergency transportation: wheelchair van |
346,136 |
32,151 |
$0.00 |
| S0209 |
Wheelchair van, mileage, per mile |
32,906 |
3,337 |
$0.00 |
| T2003 |
Non-emergency transportation; encounter/trip |
821,233 |
71,532 |
$0.00 |