| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,882 |
2,767 |
$802K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,785 |
1,736 |
$606K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
4,042 |
3,725 |
$590K |
| A0425 |
Ground mileage, per statute mile |
5,619 |
5,232 |
$408K |
| A0130 |
Non-emergency transportation: wheelchair van |
624 |
585 |
$16K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
14 |
12 |
$4K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
123 |
119 |
$1K |