| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,620 |
5,999 |
$1.96M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,038 |
4,496 |
$1.09M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,639 |
1,356 |
$229K |
| A0425 |
Ground mileage, per statute mile |
7,205 |
5,762 |
$205K |
| A0998 |
Ambulance response and treatment, no transport |
1,755 |
1,175 |
$144K |
| A0130 |
Non-emergency transportation: wheelchair van |
2,699 |
596 |
$50K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
111 |
106 |
$29K |
| S0209 |
Wheelchair van, mileage, per mile |
2,124 |
514 |
$14K |