| Code | Description | Total Paid |
| T2005 |
Non-emergency transportation; stretcher van |
$3.58M |
| A0425 |
Ground mileage, per statute mile |
$3.44M |
| A0380 |
Bls mileage (per mile) |
$2.15M |
| T2001 |
Non-emergency transportation; patient attendant/escort |
$182K |
| A0130 |
Non-emergency transportation: wheelchair van |
$157K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
$130K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
$128K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
$15K |
| 99605 |
|
$3K |
| 99607 |
|
$904.56 |