| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
19,531 |
2,821 |
$1.47M |
| S0209 |
Wheelchair van, mileage, per mile |
21,070 |
2,884 |
$1.33M |
| T2005 |
Non-emergency transportation; stretcher van |
1,594 |
318 |
$275K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
1,375 |
338 |
$98K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
62 |
53 |
$7K |
| A0998 |
Ambulance response and treatment, no transport |
129 |
106 |
$6K |