| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
22,356 |
7,217 |
$860K |
| A0130 |
Non-emergency transportation: wheelchair van |
25,904 |
5,693 |
$639K |
| A0425 |
Ground mileage, per statute mile |
27,013 |
10,865 |
$420K |
| S0209 |
Wheelchair van, mileage, per mile |
25,873 |
5,690 |
$204K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,424 |
1,310 |
$140K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,571 |
1,328 |
$101K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,314 |
1,207 |
$66K |