| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
10,075 |
8,471 |
$638K |
| A0425 |
Ground mileage, per statute mile |
14,491 |
12,172 |
$284K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
3,654 |
3,407 |
$220K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
3,637 |
3,424 |
$60K |
| A0434 |
Specialty care transport (sct) |
74 |
63 |
$4K |
| A0999 |
Unlisted ambulance service |
233 |
202 |
$1K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
139 |
120 |
$973.39 |