| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
3,359 |
1,678 |
$321K |
| A0425 |
Ground mileage, per statute mile |
4,274 |
2,418 |
$217K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
264 |
244 |
$47K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
449 |
377 |
$37K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
93 |
91 |
$13K |
| A0130 |
Non-emergency transportation: wheelchair van |
122 |
16 |
$4K |
| S0209 |
Wheelchair van, mileage, per mile |
122 |
16 |
$914.16 |