| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
10,513 |
8,245 |
$1.27M |
| A0425 |
Ground mileage, per statute mile |
13,611 |
10,965 |
$556K |
| A0130 |
Non-emergency transportation: wheelchair van |
7,049 |
3,350 |
$210K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
996 |
961 |
$161K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
755 |
730 |
$112K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
586 |
566 |
$91K |
| S0215 |
Non-emergency transportation; mileage, per mile |
6,981 |
3,293 |
$84K |