| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
24,541 |
14,720 |
$1.68M |
| A0425 |
Ground mileage, per statute mile |
32,633 |
20,996 |
$818K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,226 |
3,001 |
$579K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,325 |
3,040 |
$277K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,231 |
1,082 |
$144K |
| A0434 |
Specialty care transport (sct) |
797 |
471 |
$93K |
| A0130 |
Non-emergency transportation: wheelchair van |
3,998 |
1,570 |
$86K |
| S0209 |
Wheelchair van, mileage, per mile |
3,981 |
1,558 |
$26K |