| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
133,740 |
12,610 |
$3.61M |
| A0380 |
Bls mileage (per mile) |
100,998 |
11,884 |
$2.91M |
| A0425 |
Ground mileage, per statute mile |
57,073 |
7,115 |
$2.41M |
| T2001 |
Non-emergency transportation; patient attendant/escort |
60,485 |
7,170 |
$969K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
42,466 |
4,478 |
$424K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
121 |
53 |
$5K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
179 |
155 |
$3K |