| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
20,317 |
8,211 |
$532K |
| A0130 |
Non-emergency transportation: wheelchair van |
16,951 |
4,275 |
$368K |
| A0425 |
Ground mileage, per statute mile |
27,499 |
13,054 |
$362K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,361 |
2,901 |
$242K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,637 |
1,430 |
$100K |
| S0209 |
Wheelchair van, mileage, per mile |
16,940 |
4,273 |
$88K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,732 |
1,483 |
$81K |
| A0434 |
Specialty care transport (sct) |
322 |
294 |
$27K |
| A0382 |
Bls routine disposable supplies |
38 |
30 |
$0.00 |