| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0380 |
Bls mileage (per mile) |
2,007,200 |
542,255 |
$112.95M |
| A0425 |
Ground mileage, per statute mile |
1,841,842 |
286,065 |
$33.30M |
| T2005 |
Non-emergency transportation; stretcher van |
159,243 |
32,820 |
$25.01M |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
1,856,734 |
218,301 |
$20.36M |
| A0130 |
Non-emergency transportation: wheelchair van |
878,055 |
158,794 |
$16.28M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
21,178 |
4,409 |
$12.00M |
| A0100 |
Non-emergency transportation; taxi |
3,177,581 |
418,355 |
$10.20M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,100,751 |
275,550 |
$9.49M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
425,202 |
132,850 |
$8.33M |
| T2004 |
Non-emergency transport; commercial carrier, multi-pass |
198,494 |
123,974 |
$7.84M |
| A0999 |
Unlisted ambulance service |
1,774,085 |
425,124 |
$7.10M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
16,734 |
3,936 |
$5.79M |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
141,149 |
30,283 |
$5.31M |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
58,013 |
20,249 |
$4.79M |
| T2003 |
Non-emergency transportation; encounter/trip |
234,041 |
83,328 |
$4.72M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
72,006 |
70,341 |
$4.53M |
| S0209 |
Wheelchair van, mileage, per mile |
427,291 |
44,926 |
$3.35M |
| A0390 |
Als mileage (per mile) |
82,175 |
31,389 |
$2.93M |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
42,887 |
16,635 |
$1.91M |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
8,401 |
3,267 |
$1.62M |
| T2001 |
Non-emergency transportation; patient attendant/escort |
109,572 |
93,606 |
$1.44M |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
15,780 |
2,874 |
$339K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
23,370 |
1,489 |
$156K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
12,266 |
3,538 |
$103K |