| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
58,990 |
11,515 |
$1.96M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
27,052 |
8,654 |
$1.87M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
9,025 |
8,397 |
$1.38M |
| A0425 |
Ground mileage, per statute mile |
39,732 |
18,381 |
$764K |
| S0215 |
Non-emergency transportation; mileage, per mile |
59,460 |
11,340 |
$664K |
| A0999 |
Unlisted ambulance service |
4,728 |
432 |
$608K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,126 |
2,982 |
$571K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
1,753 |
305 |
$145K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
93 |
93 |
$15K |
| S0209 |
Wheelchair van, mileage, per mile |
499 |
156 |
$10K |
| A0434 |
Specialty care transport (sct) |
16 |
16 |
$8K |
| 0004A |
|
83 |
82 |
$3K |