| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
6,064 |
4,966 |
$838K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,882 |
3,222 |
$633K |
| A0425 |
Ground mileage, per statute mile |
15,040 |
9,230 |
$596K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
4,807 |
2,350 |
$230K |
| T2003 |
Non-emergency transportation; encounter/trip |
117 |
84 |
$644.26 |
| A0130 |
Non-emergency transportation: wheelchair van |
25 |
12 |
$619.00 |