| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
15,205 |
7,954 |
$684K |
| A0425 |
Ground mileage, per statute mile |
20,491 |
11,142 |
$433K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,545 |
1,169 |
$211K |
| A0130 |
Non-emergency transportation: wheelchair van |
5,075 |
1,755 |
$90K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
846 |
593 |
$67K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
286 |
212 |
$36K |
| T2003 |
Non-emergency transportation; encounter/trip |
41 |
24 |
$330.00 |
| A0434 |
Specialty care transport (sct) |
56 |
35 |
$0.00 |