| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,039 |
2,785 |
$979K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,883 |
3,317 |
$967K |
| A0425 |
Ground mileage, per statute mile |
3,442 |
2,938 |
$148K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
461 |
321 |
$71K |
| A0998 |
Ambulance response and treatment, no transport |
164 |
150 |
$17K |
| A0130 |
Non-emergency transportation: wheelchair van |
466 |
175 |
$16K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
169 |
78 |
$3K |