| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
15,487 |
4,212 |
$509K |
| A0425 |
Ground mileage, per statute mile |
18,092 |
6,114 |
$237K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,650 |
1,456 |
$114K |
| A0130 |
Non-emergency transportation: wheelchair van |
765 |
298 |
$22K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
29 |
29 |
$4K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
26 |
24 |
$2K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
89 |
28 |
$360.00 |