| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
70,735 |
49,970 |
$5.18M |
| A0425 |
Ground mileage, per statute mile |
87,869 |
62,565 |
$1.51M |
| A0130 |
Non-emergency transportation: wheelchair van |
34,028 |
12,600 |
$768K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
7,706 |
6,729 |
$578K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,225 |
3,855 |
$415K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,361 |
3,930 |
$318K |
| S0209 |
Wheelchair van, mileage, per mile |
34,210 |
12,632 |
$223K |
| A0434 |
Specialty care transport (sct) |
530 |
457 |
$59K |
| A0430 |
Ambulance service, conventional air services, transport, one way (fixed wing) |
133 |
48 |
$0.00 |