| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
2,469 |
1,699 |
$214K |
| T2005 |
Non-emergency transportation; stretcher van |
884 |
723 |
$141K |
| A0130 |
Non-emergency transportation: wheelchair van |
1,427 |
825 |
$42K |
| A0999 |
Unlisted ambulance service |
440 |
192 |
$25K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
794 |
648 |
$17K |
| A0380 |
Bls mileage (per mile) |
140 |
79 |
$16K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
232 |
136 |
$15K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
336 |
261 |
$10K |