| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,823 |
3,405 |
$399K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
8,563 |
6,027 |
$380K |
| A0425 |
Ground mileage, per statute mile |
16,294 |
11,744 |
$309K |
| A0130 |
Non-emergency transportation: wheelchair van |
9,395 |
3,542 |
$214K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,958 |
1,715 |
$130K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,817 |
1,485 |
$106K |
| S0209 |
Wheelchair van, mileage, per mile |
9,394 |
3,542 |
$63K |