| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
7,007 |
3,562 |
$451K |
| A0130 |
Non-emergency transportation: wheelchair van |
17,440 |
3,965 |
$440K |
| A0425 |
Ground mileage, per statute mile |
13,039 |
8,033 |
$364K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,979 |
3,637 |
$333K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,407 |
1,305 |
$153K |
| S0209 |
Wheelchair van, mileage, per mile |
17,440 |
3,965 |
$98K |