| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
8,012 |
5,433 |
$1.18M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,416 |
4,144 |
$780K |
| A0425 |
Ground mileage, per statute mile |
12,262 |
9,450 |
$449K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
312 |
306 |
$11K |
| A0130 |
Non-emergency transportation: wheelchair van |
78 |
25 |
$9K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
131 |
80 |
$2K |