| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
10,567 |
8,893 |
$1.60M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,168 |
7,608 |
$1.46M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
10,904 |
6,068 |
$1.01M |
| A0425 |
Ground mileage, per statute mile |
31,044 |
20,737 |
$613K |
| A0130 |
Non-emergency transportation: wheelchair van |
13,282 |
4,147 |
$338K |
| S0215 |
Non-emergency transportation; mileage, per mile |
13,044 |
4,037 |
$118K |
| A0998 |
Ambulance response and treatment, no transport |
213 |
206 |
$31K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
239 |
219 |
$27K |
| A0434 |
Specialty care transport (sct) |
79 |
69 |
$26K |