| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2005 |
Non-emergency transportation; stretcher van |
31,686 |
11,256 |
$4.08M |
| A0380 |
Bls mileage (per mile) |
33,528 |
11,221 |
$725K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
6,450 |
1,766 |
$206K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
4,671 |
1,593 |
$88K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
8,021 |
3,342 |
$80K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
3,094 |
1,736 |
$68K |
| A0130 |
Non-emergency transportation: wheelchair van |
3,441 |
458 |
$52K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
177 |
119 |
$27K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
1,807 |
1,090 |
$3K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
342 |
134 |
$2K |