| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0999 |
Unlisted ambulance service |
4,609 |
1,897 |
$9.77M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
41,611 |
3,287 |
$4.50M |
| A0425 |
Ground mileage, per statute mile |
35,907 |
2,820 |
$246K |
| A0130 |
Non-emergency transportation: wheelchair van |
493 |
129 |
$28K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
42 |
24 |
$17K |
| A0380 |
Bls mileage (per mile) |
262 |
32 |
$535.50 |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
378 |
27 |
$239.63 |