| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,207 |
7,003 |
$1.71M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,354 |
3,617 |
$813K |
| A0425 |
Ground mileage, per statute mile |
12,796 |
9,621 |
$609K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
547 |
317 |
$42K |
| A0130 |
Non-emergency transportation: wheelchair van |
481 |
134 |
$17K |
| A0380 |
Bls mileage (per mile) |
420 |
122 |
$14K |
| 93041 |
|
440 |
406 |
$7K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
45 |
38 |
$449.10 |