| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
8,844 |
3,580 |
$356K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,357 |
1,165 |
$190K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,062 |
851 |
$137K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,359 |
937 |
$45K |
| A0130 |
Non-emergency transportation: wheelchair van |
761 |
147 |
$9K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
70 |
14 |
$494.20 |