| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
8,797 |
253 |
$3.60M |
| A0380 |
Bls mileage (per mile) |
6,764 |
585 |
$2.42M |
| T2005 |
Non-emergency transportation; stretcher van |
2,388 |
444 |
$332K |
| A0130 |
Non-emergency transportation: wheelchair van |
4,392 |
180 |
$66K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
8,804 |
255 |
$62K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
4,691 |
335 |
$48K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
838 |
160 |
$15K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
47 |
31 |
$1K |