| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
41,813 |
14,570 |
$3.04M |
| A0425 |
Ground mileage, per statute mile |
59,638 |
29,565 |
$1.88M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
11,767 |
10,815 |
$1.86M |
| A0130 |
Non-emergency transportation: wheelchair van |
33,263 |
3,613 |
$1.01M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,533 |
5,336 |
$944K |
| S0215 |
Non-emergency transportation; mileage, per mile |
32,123 |
3,460 |
$403K |
| A0999 |
Unlisted ambulance service |
96 |
13 |
$11K |
| 93000 |
|
257 |
236 |
$2K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
273 |
258 |
$2K |