| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
11,470 |
9,356 |
$293K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
12,890 |
10,385 |
$123K |
| A0390 |
Als mileage (per mile) |
243 |
222 |
$44K |
| A0380 |
Bls mileage (per mile) |
890 |
796 |
$21K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
519 |
466 |
$15K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,214 |
1,085 |
$13K |
| A0130 |
Non-emergency transportation: wheelchair van |
47 |
42 |
$0.00 |