| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,288 |
2,004 |
$194K |
| A0130 |
Non-emergency transportation: wheelchair van |
5,277 |
1,259 |
$124K |
| A0425 |
Ground mileage, per statute mile |
4,711 |
3,516 |
$93K |
| S0209 |
Wheelchair van, mileage, per mile |
5,277 |
1,259 |
$86K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,425 |
1,252 |
$84K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
78 |
55 |
$2K |