| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
4,449 |
2,850 |
$213K |
| A0130 |
Non-emergency transportation: wheelchair van |
4,375 |
1,441 |
$96K |
| A0425 |
Ground mileage, per statute mile |
6,878 |
4,605 |
$68K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,176 |
1,039 |
$66K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
660 |
604 |
$61K |
| S0209 |
Wheelchair van, mileage, per mile |
4,240 |
1,425 |
$24K |