| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
7,625 |
2,773 |
$536K |
| A0425 |
Ground mileage, per statute mile |
11,251 |
5,769 |
$247K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,475 |
2,174 |
$111K |
| A0130 |
Non-emergency transportation: wheelchair van |
753 |
151 |
$18K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
260 |
223 |
$14K |
| S0209 |
Wheelchair van, mileage, per mile |
753 |
151 |
$3K |