| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
57,517 |
23,879 |
$5.17M |
| A0425 |
Ground mileage, per statute mile |
60,929 |
26,921 |
$3.50M |
| A0130 |
Non-emergency transportation: wheelchair van |
19,689 |
4,572 |
$660K |
| S0215 |
Non-emergency transportation; mileage, per mile |
19,296 |
4,502 |
$331K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,420 |
1,377 |
$211K |
| A0999 |
Unlisted ambulance service |
1,139 |
95 |
$206K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
619 |
613 |
$109K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
89 |
87 |
$24K |
| A0434 |
Specialty care transport (sct) |
71 |
70 |
$22K |