| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
14,107 |
9,787 |
$1.90M |
| A0425 |
Ground mileage, per statute mile |
17,006 |
12,246 |
$626K |
| A0130 |
Non-emergency transportation: wheelchair van |
4,927 |
3,764 |
$107K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
89 |
63 |
$17K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
441 |
303 |
$6K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
24 |
16 |
$3K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
37 |
36 |
$103.23 |