| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
9,841 |
3,580 |
$781K |
| A0425 |
Ground mileage, per statute mile |
12,022 |
4,966 |
$396K |
| T2005 |
Non-emergency transportation; stretcher van |
959 |
197 |
$353K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
691 |
570 |
$67K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
238 |
167 |
$11K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
959 |
197 |
$0.00 |