| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0380 |
Bls mileage (per mile) |
14,821 |
2,011 |
$1.77M |
| A0425 |
Ground mileage, per statute mile |
6,504 |
1,029 |
$1.22M |
| T2005 |
Non-emergency transportation; stretcher van |
2,026 |
347 |
$400K |
| A0130 |
Non-emergency transportation: wheelchair van |
12,120 |
1,626 |
$363K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
7,269 |
583 |
$76K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
1,935 |
614 |
$47K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
6,574 |
1,040 |
$25K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
29 |
12 |
$1K |