| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
1,925 |
1,380 |
$163K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
216 |
186 |
$39K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
221 |
175 |
$38K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
193 |
82 |
$18K |
| A0130 |
Non-emergency transportation: wheelchair van |
88 |
27 |
$2K |
| T2003 |
Non-emergency transportation; encounter/trip |
30 |
14 |
$477.50 |