| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
28,748 |
22,888 |
$3.86M |
| A0425 |
Ground mileage, per statute mile |
47,268 |
37,666 |
$1.82M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
8,457 |
8,066 |
$1.46M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,305 |
5,197 |
$1.02M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
3,669 |
3,556 |
$570K |
| A0130 |
Non-emergency transportation: wheelchair van |
19,527 |
7,461 |
$567K |
| S0215 |
Non-emergency transportation; mileage, per mile |
17,954 |
6,750 |
$252K |
| A0434 |
Specialty care transport (sct) |
160 |
157 |
$61K |
| S0209 |
Wheelchair van, mileage, per mile |
314 |
158 |
$1K |