| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
19,952 |
5,974 |
$641K |
| A0425 |
Ground mileage, per statute mile |
21,037 |
6,824 |
$388K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
572 |
501 |
$23K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
203 |
162 |
$18K |
| A0130 |
Non-emergency transportation: wheelchair van |
149 |
66 |
$4K |
| T2003 |
Non-emergency transportation; encounter/trip |
98 |
35 |
$2K |