| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
24,702 |
13,141 |
$1.45M |
| A0130 |
Non-emergency transportation: wheelchair van |
29,571 |
10,354 |
$877K |
| A0434 |
Specialty care transport (sct) |
1,757 |
1,491 |
$600K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,845 |
4,858 |
$591K |
| A0425 |
Ground mileage, per statute mile |
37,203 |
22,721 |
$521K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,104 |
2,832 |
$469K |
| S0215 |
Non-emergency transportation; mileage, per mile |
29,343 |
10,295 |
$310K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,694 |
1,513 |
$181K |
| A0999 |
Unlisted ambulance service |
109 |
93 |
$6K |
| S0209 |
Wheelchair van, mileage, per mile |
60 |
15 |
$0.00 |