| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,736 |
5,057 |
$576K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
6,182 |
5,328 |
$409K |
| A0425 |
Ground mileage, per statute mile |
17,263 |
11,668 |
$357K |
| A0130 |
Non-emergency transportation: wheelchair van |
6,846 |
1,725 |
$162K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
4,452 |
1,922 |
$135K |
| S0209 |
Wheelchair van, mileage, per mile |
6,860 |
1,734 |
$43K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
269 |
252 |
$13K |