| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
22,885 |
6,196 |
$2.64M |
| A0425 |
Ground mileage, per statute mile |
31,628 |
11,207 |
$1.12M |
| T2005 |
Non-emergency transportation; stretcher van |
2,419 |
952 |
$452K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,502 |
3,585 |
$263K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,747 |
1,387 |
$111K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
2,418 |
951 |
$3K |