| Code | Description | Claims | Beneficiaries | Total Paid |
| T2005 |
Non-emergency transportation; stretcher van |
2,378 |
2,050 |
$5.65M |
| A0380 |
Bls mileage (per mile) |
9,158 |
6,711 |
$4.28M |
| A0425 |
Ground mileage, per statute mile |
6,465 |
4,303 |
$2.97M |
| A0130 |
Non-emergency transportation: wheelchair van |
6,733 |
4,760 |
$1.52M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
4,569 |
3,451 |
$475K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
6,529 |
4,345 |
$420K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
251 |
203 |
$9K |