| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
26,350 |
22,730 |
$1.19M |
| A0425 |
Ground mileage, per statute mile |
41,633 |
28,085 |
$260K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
14,621 |
6,573 |
$185K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
2,099 |
1,627 |
$15K |
| A0380 |
Bls mileage (per mile) |
544 |
493 |
$8K |
| A0130 |
Non-emergency transportation: wheelchair van |
99 |
34 |
$150.00 |
| A0999 |
Unlisted ambulance service |
39 |
14 |
$0.00 |