| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0100 |
Nonemergency transport taxi |
623,992 |
96,238 |
$9.79M |
| A0429 |
Bls-emergency |
71,470 |
48,390 |
$6.39M |
| A0427 |
Als1-emergency |
26,645 |
23,145 |
$4.95M |
| A0428 |
Bls |
52,946 |
32,094 |
$2.15M |
| A0130 |
Noner transport wheelch van |
89,041 |
9,962 |
$1.95M |
| A0425 |
Ground mileage |
471,814 |
148,117 |
$1.88M |
| A0999 |
Unlisted ambulance service |
28,080 |
3,885 |
$1.16M |
| A0434 |
Specialty care transport |
3,680 |
2,333 |
$678K |
| A0426 |
Als 1 |
2,180 |
1,403 |
$244K |
| A0110 |
Nonemergency transport bus |
4,856 |
163 |
$89K |
| A0382 |
Basic support routine suppls |
3,084 |
2,238 |
$3K |
| A0170 |
Transport parking fees/tolls |
197 |
58 |
$2K |
| A0422 |
Ambulance 02 life sustaining |
950 |
711 |
$2K |
| A0398 |
Als routine disposble suppls |
1,503 |
1,413 |
$360.00 |
| A0140 |
Nonemergency transport air |
161 |
36 |
$70.00 |