| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0130 |
Non-emergency transportation: wheelchair van |
22,392 |
5,024 |
$514K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,365 |
3,065 |
$299K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,626 |
3,254 |
$192K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
5,538 |
2,791 |
$178K |
| S0209 |
Wheelchair van, mileage, per mile |
22,390 |
5,023 |
$127K |
| A0425 |
Ground mileage, per statute mile |
12,617 |
8,119 |
$80K |