| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
13,591 |
2,936 |
$1.16M |
| T2005 |
Non-emergency transportation; stretcher van |
5,578 |
2,853 |
$483K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
6,037 |
1,226 |
$482K |
| T2003 |
Non-emergency transportation; encounter/trip |
274 |
58 |
$27K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
214 |
42 |
$4K |
| A0425 |
Ground mileage, per statute mile |
58 |
19 |
$0.00 |