| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
35,011 |
27,364 |
$2.45M |
| A0425 |
Ground mileage, per statute mile |
46,720 |
36,340 |
$970K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
6,788 |
6,287 |
$639K |
| A0130 |
Non-emergency transportation: wheelchair van |
10,508 |
6,239 |
$249K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,776 |
2,511 |
$235K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,712 |
1,589 |
$206K |
| S0209 |
Wheelchair van, mileage, per mile |
10,362 |
6,165 |
$72K |