| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
10,876 |
9,463 |
$1.87M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
9,106 |
8,247 |
$1.83M |
| A0425 |
Ground mileage, per statute mile |
21,252 |
17,757 |
$1.23M |
| A0130 |
Non-emergency transportation: wheelchair van |
3,103 |
1,031 |
$230K |
| S0209 |
Wheelchair van, mileage, per mile |
2,612 |
1,028 |
$194K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
259 |
243 |
$28K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
2,502 |
1,869 |
$9K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
28 |
26 |
$5K |