| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,403 |
626 |
$54K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
564 |
513 |
$47K |
| A0425 |
Ground mileage, per statute mile |
2,892 |
1,822 |
$32K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
336 |
315 |
$17K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
215 |
195 |
$13K |
| A0130 |
Non-emergency transportation: wheelchair van |
457 |
159 |
$10K |
| S0209 |
Wheelchair van, mileage, per mile |
457 |
159 |
$3K |