| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
44,567 |
34,742 |
$6.49M |
| A0425 |
Ground mileage, per statute mile |
65,361 |
38,737 |
$2.34M |
| A0130 |
Non-emergency transportation: wheelchair van |
35,257 |
5,812 |
$2.31M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
4,464 |
4,214 |
$1.23M |
| A0434 |
Specialty care transport (sct) |
944 |
908 |
$438K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,288 |
1,219 |
$187K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
270 |
264 |
$61K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
716 |
595 |
$941.25 |