| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
13,656 |
2,245 |
$1.70M |
| T2005 |
Non-emergency transportation; stretcher van |
9,724 |
1,613 |
$1.51M |
| A0130 |
Non-emergency transportation: wheelchair van |
16,597 |
1,967 |
$1.31M |
| S0209 |
Wheelchair van, mileage, per mile |
15,198 |
1,967 |
$517K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,484 |
2,849 |
$317K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
9,722 |
1,612 |
$267K |
| A0380 |
Bls mileage (per mile) |
5,307 |
931 |
$179K |
| A0425 |
Ground mileage, per statute mile |
12,441 |
4,141 |
$163K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
83 |
72 |
$11K |