| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
16,375 |
9,873 |
$781K |
| A0425 |
Ground mileage, per statute mile |
22,398 |
13,856 |
$751K |
| A0130 |
Non-emergency transportation: wheelchair van |
20,200 |
3,453 |
$477K |
| S0209 |
Wheelchair van, mileage, per mile |
20,197 |
3,454 |
$193K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,674 |
2,338 |
$189K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,484 |
1,285 |
$111K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,251 |
1,086 |
$84K |