| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0380 |
Bls mileage (per mile) |
22,295 |
5,615 |
$749K |
| T2005 |
Non-emergency transportation; stretcher van |
5,467 |
1,338 |
$725K |
| A0130 |
Non-emergency transportation: wheelchair van |
20,930 |
5,543 |
$320K |
| A0425 |
Ground mileage, per statute mile |
4,429 |
868 |
$124K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
3,376 |
859 |
$68K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
1,121 |
810 |
$37K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
5,307 |
1,068 |
$35K |