| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
51,726 |
22,268 |
$2.01M |
| A0425 |
Ground mileage, per statute mile |
66,857 |
33,197 |
$829K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,366 |
5,647 |
$647K |
| A0130 |
Non-emergency transportation: wheelchair van |
23,874 |
5,865 |
$579K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,076 |
3,676 |
$299K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
3,597 |
2,638 |
$236K |
| S0209 |
Wheelchair van, mileage, per mile |
23,808 |
5,855 |
$152K |
| T2005 |
Non-emergency transportation; stretcher van |
790 |
697 |
$20K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
18 |
18 |
$0.00 |