| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0380 |
Bls mileage (per mile) |
4,044 |
845 |
$353K |
| T2005 |
Non-emergency transportation; stretcher van |
1,098 |
250 |
$289K |
| A0425 |
Ground mileage, per statute mile |
1,114 |
208 |
$113K |
| A0130 |
Non-emergency transportation: wheelchair van |
3,310 |
659 |
$96K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
1,177 |
218 |
$16K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
603 |
80 |
$6K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
248 |
115 |
$5K |