| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,907 |
2,629 |
$274K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,007 |
913 |
$65K |
| A0425 |
Ground mileage, per statute mile |
5,614 |
4,370 |
$50K |
| A0130 |
Non-emergency transportation: wheelchair van |
1,997 |
318 |
$46K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
797 |
500 |
$22K |
| S0209 |
Wheelchair van, mileage, per mile |
1,996 |
318 |
$12K |