| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
22,960 |
15,804 |
$3.20M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
15,953 |
11,701 |
$2.22M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
16,858 |
7,845 |
$1.00M |
| A0425 |
Ground mileage, per statute mile |
49,442 |
28,836 |
$384K |
| S0215 |
Non-emergency transportation; mileage, per mile |
7,886 |
3,870 |
$122K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,106 |
829 |
$118K |
| A0130 |
Non-emergency transportation: wheelchair van |
3,135 |
933 |
$357.27 |
| S0209 |
Wheelchair van, mileage, per mile |
3,133 |
933 |
$12.77 |
| A0433 |
Advanced life support, level 2 (als 2) |
17 |
12 |
$0.00 |