| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
11,701 |
9,651 |
$2.13M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
9,767 |
8,455 |
$1.21M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,726 |
4,351 |
$877K |
| A0425 |
Ground mileage, per statute mile |
26,572 |
19,908 |
$653K |
| A0130 |
Non-emergency transportation: wheelchair van |
8,670 |
2,466 |
$282K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
945 |
925 |
$141K |
| S0215 |
Non-emergency transportation; mileage, per mile |
8,649 |
2,466 |
$99K |
| 93000 |
|
226 |
209 |
$5K |