| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,342 |
3,032 |
$718K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,943 |
2,603 |
$488K |
| A0425 |
Ground mileage, per statute mile |
5,656 |
4,779 |
$232K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
297 |
281 |
$30K |
| S0209 |
Wheelchair van, mileage, per mile |
298 |
106 |
$12K |
| A0130 |
Non-emergency transportation: wheelchair van |
152 |
61 |
$6K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
357 |
309 |
$734.41 |