| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
14,097 |
3,366 |
$276K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
10,478 |
1,474 |
$173K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,085 |
794 |
$101K |
| S0215 |
Non-emergency transportation; mileage, per mile |
1,867 |
410 |
$40K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
537 |
381 |
$30K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
2,103 |
454 |
$12K |
| T2005 |
Non-emergency transportation; stretcher van |
14 |
12 |
$5K |
| T2003 |
Non-emergency transportation; encounter/trip |
87 |
32 |
$4K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
14 |
12 |
$0.00 |