| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
124,737 |
10,907 |
$3.67M |
| A0380 |
Bls mileage (per mile) |
109,325 |
11,675 |
$3.65M |
| T2005 |
Non-emergency transportation; stretcher van |
7,763 |
1,365 |
$1.93M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
29,938 |
2,922 |
$330K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
7,570 |
1,370 |
$286K |
| A0425 |
Ground mileage, per statute mile |
5,738 |
626 |
$201K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
6,318 |
634 |
$26K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
829 |
627 |
$19K |