| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
31,407 |
20,563 |
$1.44M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
18,108 |
12,468 |
$1.18M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,187 |
3,715 |
$707K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,864 |
3,241 |
$483K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,774 |
1,438 |
$220K |
| A0434 |
Specialty care transport (sct) |
472 |
374 |
$150K |
| A0130 |
Non-emergency transportation: wheelchair van |
1,415 |
871 |
$0.00 |
| S0215 |
Non-emergency transportation; mileage, per mile |
1,412 |
870 |
$0.00 |