| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
20,178 |
7,024 |
$1.06M |
| A0130 |
Non-emergency transportation: wheelchair van |
23,974 |
6,262 |
$830K |
| A0425 |
Ground mileage, per statute mile |
24,067 |
9,829 |
$324K |
| S0215 |
Non-emergency transportation; mileage, per mile |
23,806 |
6,233 |
$282K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,999 |
1,857 |
$212K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
711 |
607 |
$48K |
| A0434 |
Specialty care transport (sct) |
12 |
12 |
$3K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
14 |
13 |
$2K |