| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
7,742 |
6,119 |
$413K |
| A0425 |
Ground mileage, per statute mile |
9,465 |
7,481 |
$168K |
| A0130 |
Non-emergency transportation: wheelchair van |
5,226 |
1,514 |
$125K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
729 |
692 |
$52K |
| S0209 |
Wheelchair van, mileage, per mile |
5,152 |
1,493 |
$31K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
454 |
414 |
$27K |