| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
79,909 |
56,237 |
$5.96M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
54,350 |
38,926 |
$4.57M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
7,747 |
6,734 |
$1.22M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
8,740 |
7,428 |
$1.13M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
7,840 |
6,555 |
$1.08M |
| A0130 |
Non-emergency transportation: wheelchair van |
31,511 |
7,709 |
$686K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,078 |
917 |
$16K |
| T2003 |
Non-emergency transportation; encounter/trip |
609 |
387 |
$10K |
| A0998 |
Ambulance response and treatment, no transport |
14 |
12 |
$1K |