| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,675 |
7,621 |
$2.01M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
8,288 |
6,962 |
$1.59M |
| A0425 |
Ground mileage, per statute mile |
19,556 |
14,754 |
$429K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,238 |
1,884 |
$272K |
| A0130 |
Non-emergency transportation: wheelchair van |
41 |
12 |
$4K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
1,775 |
1,448 |
$2K |
| S0209 |
Wheelchair van, mileage, per mile |
41 |
12 |
$631.07 |