| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
89,966 |
71,252 |
$5.84M |
| A0425 |
Ground mileage, per statute mile |
122,360 |
96,505 |
$4.53M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
17,332 |
15,768 |
$1.45M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,721 |
6,162 |
$843K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
6,179 |
5,619 |
$505K |
| A0130 |
Non-emergency transportation: wheelchair van |
8,667 |
5,517 |
$177K |
| A0434 |
Specialty care transport (sct) |
1,238 |
1,129 |
$133K |
| S0209 |
Wheelchair van, mileage, per mile |
8,657 |
5,512 |
$109K |
| A0433 |
Advanced life support, level 2 (als 2) |
323 |
295 |
$56K |