| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
15,512 |
1,673 |
$534K |
| A0425 |
Ground mileage, per statute mile |
16,308 |
1,973 |
$235K |
| A0130 |
Non-emergency transportation: wheelchair van |
251 |
63 |
$12K |
| T2003 |
Non-emergency transportation; encounter/trip |
322 |
108 |
$6K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
15 |
14 |
$2K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
15 |
12 |
$2K |