| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
20,013 |
15,772 |
$20.12M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
11,356 |
9,836 |
$11.25M |
| A0425 |
Ground mileage, per statute mile |
34,923 |
25,687 |
$5.83M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
3,985 |
3,816 |
$4.28M |
| S0215 |
Non-emergency transportation; mileage, per mile |
75,864 |
36,343 |
$3.29M |
| A0998 |
Ambulance response and treatment, no transport |
2,943 |
2,790 |
$2.95M |
| S0209 |
Wheelchair van, mileage, per mile |
30,409 |
12,627 |
$1.14M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
75,763 |
36,342 |
$737K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
452 |
444 |
$555K |
| A0130 |
Non-emergency transportation: wheelchair van |
30,300 |
12,602 |
$487K |
| A0382 |
Bls routine disposable supplies |
10,946 |
8,212 |
$111K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,684 |
1,445 |
$107K |
| A0398 |
Als routine disposable supplies |
3,047 |
2,668 |
$58K |