| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
98,873 |
15,027 |
$18.25M |
| A0380 |
Bls mileage (per mile) |
52,750 |
9,497 |
$7.58M |
| T2005 |
Non-emergency transportation; stretcher van |
8,238 |
1,324 |
$2.15M |
| T2001 |
Non-emergency transportation; patient attendant/escort |
98,963 |
15,176 |
$1.17M |
| A0130 |
Non-emergency transportation: wheelchair van |
44,635 |
8,471 |
$1.13M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
39,141 |
4,856 |
$403K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
5,577 |
2,718 |
$114K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
2,415 |
404 |
$94K |