| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0100 |
Non-emergency transportation; taxi |
42,968 |
4,256 |
$1.38M |
| A0425 |
Ground mileage, per statute mile |
10,776 |
3,916 |
$578K |
| T2003 |
Non-emergency transportation; encounter/trip |
11,165 |
1,254 |
$545K |
| S0215 |
Non-emergency transportation; mileage, per mile |
18,582 |
2,587 |
$533K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
7,198 |
1,973 |
$391K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,351 |
1,000 |
$130K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,087 |
805 |
$88K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
2,068 |
1,337 |
$27K |
| A0140 |
Non-emergency transportation and air travel (private or commercial) intra or inter state |
601 |
178 |
$23K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
2,052 |
146 |
$17K |