| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,553 |
1,309 |
$24K |
| A0425 |
Ground mileage, per statute mile |
564 |
279 |
$2K |
| A0999 |
Unlisted ambulance service |
787 |
306 |
$714.01 |
| A0100 |
Non-emergency transportation; taxi |
117,701 |
27,535 |
$0.00 |
| A0130 |
Non-emergency transportation: wheelchair van |
10,892 |
2,253 |
$0.00 |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
4,692 |
655 |
$0.00 |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
565 |
92 |
$0.00 |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
168 |
120 |
$0.00 |