| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2005 |
Non-emergency transportation; stretcher van |
8,164 |
1,822 |
$1.41M |
| S0209 |
Wheelchair van, mileage, per mile |
23,949 |
3,788 |
$1.08M |
| A0130 |
Non-emergency transportation: wheelchair van |
15,843 |
2,116 |
$1.06M |
| A0999 |
Unlisted ambulance service |
2,389 |
367 |
$203K |
| A0998 |
Ambulance response and treatment, no transport |
1,509 |
863 |
$77K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
3,425 |
929 |
$67K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
1,277 |
892 |
$52K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
129 |
107 |
$25K |
| A0425 |
Ground mileage, per statute mile |
130 |
107 |
$7K |