| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,685 |
3,229 |
$284K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,081 |
1,923 |
$244K |
| A0130 |
Non-emergency transportation: wheelchair van |
8,925 |
1,895 |
$202K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,565 |
1,482 |
$104K |
| A0425 |
Ground mileage, per statute mile |
8,526 |
6,495 |
$64K |
| S0209 |
Wheelchair van, mileage, per mile |
8,938 |
1,907 |
$50K |
| A0998 |
Ambulance response and treatment, no transport |
49 |
32 |
$0.00 |