| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
32,761 |
5,951 |
$1.96M |
| A0130 |
Non-emergency transportation: wheelchair van |
39,155 |
7,598 |
$946K |
| A0425 |
Ground mileage, per statute mile |
38,269 |
9,013 |
$513K |
| S0209 |
Wheelchair van, mileage, per mile |
38,752 |
7,593 |
$354K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,541 |
521 |
$183K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,520 |
2,298 |
$173K |