| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
31,356 |
26,241 |
$2.37M |
| A0425 |
Ground mileage, per statute mile |
46,098 |
38,383 |
$1.47M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
10,975 |
10,143 |
$1.09M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,179 |
2,058 |
$269K |
| A0130 |
Non-emergency transportation: wheelchair van |
5,937 |
4,277 |
$128K |
| A0433 |
Advanced life support, level 2 (als 2) |
558 |
529 |
$70K |
| S0209 |
Wheelchair van, mileage, per mile |
5,918 |
4,269 |
$66K |
| A0434 |
Specialty care transport (sct) |
162 |
140 |
$44K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
471 |
453 |
$40K |