| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
19,196 |
2,400 |
$1.82M |
| A0130 |
Non-emergency transportation: wheelchair van |
29,437 |
4,639 |
$889K |
| S0215 |
Non-emergency transportation; mileage, per mile |
27,046 |
4,170 |
$264K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,618 |
1,518 |
$206K |
| A0425 |
Ground mileage, per statute mile |
19,020 |
4,425 |
$128K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
304 |
291 |
$45K |
| A0380 |
Bls mileage (per mile) |
836 |
37 |
$5K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
20 |
14 |
$3K |
| S0209 |
Wheelchair van, mileage, per mile |
79 |
32 |
$844.41 |