| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
5,574 |
1,331 |
$674K |
| A0425 |
Ground mileage, per statute mile |
8,493 |
2,733 |
$554K |
| T2005 |
Non-emergency transportation; stretcher van |
605 |
162 |
$227K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
515 |
342 |
$25K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
423 |
246 |
$24K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
605 |
162 |
$0.00 |