| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
7,628 |
6,955 |
$802K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
6,465 |
5,842 |
$493K |
| A0425 |
Ground mileage, per statute mile |
17,572 |
14,005 |
$235K |
| A0130 |
Non-emergency transportation: wheelchair van |
7,391 |
1,605 |
$176K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,946 |
1,108 |
$135K |
| S0209 |
Wheelchair van, mileage, per mile |
6,965 |
1,603 |
$45K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
108 |
99 |
$6K |
| A0434 |
Specialty care transport (sct) |
39 |
38 |
$6K |