| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
35,679 |
19,503 |
$4.41M |
| A0425 |
Ground mileage, per statute mile |
44,636 |
26,408 |
$1.67M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,427 |
5,137 |
$1.18M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,982 |
1,929 |
$537K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,216 |
1,072 |
$215K |
| A0434 |
Specialty care transport (sct) |
284 |
276 |
$158K |
| A0130 |
Non-emergency transportation: wheelchair van |
682 |
370 |
$24K |
| A0999 |
Unlisted ambulance service |
187 |
171 |
$21K |
| S0215 |
Non-emergency transportation; mileage, per mile |
429 |
346 |
$6K |