| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
40,133 |
27,421 |
$2.54M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
24,765 |
18,970 |
$1.50M |
| A0130 |
Non-emergency transportation: wheelchair van |
21,294 |
8,124 |
$495K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,038 |
3,587 |
$381K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,947 |
5,194 |
$365K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
3,118 |
2,752 |
$363K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
1,044 |
517 |
$324.23 |