| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
56,325 |
46,102 |
$3.94M |
| A0425 |
Ground mileage, per statute mile |
83,338 |
67,977 |
$2.14M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
14,115 |
13,057 |
$1.31M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
6,787 |
5,956 |
$414K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,316 |
3,961 |
$383K |
| A0434 |
Specialty care transport (sct) |
1,689 |
1,598 |
$248K |
| A0130 |
Non-emergency transportation: wheelchair van |
10,502 |
9,299 |
$214K |
| S0209 |
Wheelchair van, mileage, per mile |
10,452 |
9,277 |
$65K |
| 93041 |
|
114 |
100 |
$19.45 |
| A0398 |
Als routine disposable supplies |
151 |
130 |
$0.00 |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
86 |
78 |
$0.00 |
| A0382 |
Bls routine disposable supplies |
621 |
490 |
$0.00 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
62 |
52 |
$0.00 |