| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
10,953 |
8,401 |
$602K |
| A0425 |
Ground mileage, per statute mile |
18,012 |
13,458 |
$500K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,091 |
1,914 |
$242K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,020 |
2,698 |
$214K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,724 |
1,570 |
$134K |
| A0130 |
Non-emergency transportation: wheelchair van |
3,362 |
2,608 |
$69K |
| S0209 |
Wheelchair van, mileage, per mile |
3,279 |
2,564 |
$23K |