| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
19,382 |
10,464 |
$1.02M |
| A0130 |
Non-emergency transportation: wheelchair van |
33,963 |
7,838 |
$783K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,435 |
4,743 |
$461K |
| A0425 |
Ground mileage, per statute mile |
31,565 |
18,994 |
$430K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
6,338 |
5,434 |
$393K |
| S0209 |
Wheelchair van, mileage, per mile |
33,802 |
7,834 |
$237K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
95 |
84 |
$5K |