| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
8,239 |
6,247 |
$442K |
| A0130 |
Non-emergency transportation: wheelchair van |
4,957 |
2,033 |
$96K |
| A0425 |
Ground mileage, per statute mile |
9,858 |
7,418 |
$91K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
614 |
570 |
$37K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
623 |
545 |
$33K |
| S0209 |
Wheelchair van, mileage, per mile |
4,957 |
2,034 |
$18K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
76 |
69 |
$8K |