| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
23,318 |
16,103 |
$1.21M |
| A0425 |
Ground mileage, per statute mile |
31,833 |
23,155 |
$741K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
4,745 |
4,342 |
$324K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,387 |
2,221 |
$245K |
| A0130 |
Non-emergency transportation: wheelchair van |
6,048 |
2,651 |
$145K |
| S0209 |
Wheelchair van, mileage, per mile |
6,047 |
2,651 |
$54K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
660 |
634 |
$43K |
| A0434 |
Specialty care transport (sct) |
143 |
130 |
$16K |
| A0433 |
Advanced life support, level 2 (als 2) |
116 |
112 |
$14K |