| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,026 |
1,823 |
$308K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,018 |
1,776 |
$253K |
| A0425 |
Ground mileage, per statute mile |
5,181 |
4,000 |
$166K |
| S0209 |
Wheelchair van, mileage, per mile |
873 |
140 |
$35K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
549 |
80 |
$8K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
53 |
40 |
$2K |