| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
35,237 |
10,897 |
$1.59M |
| A0425 |
Ground mileage, per statute mile |
53,969 |
21,956 |
$890K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
10,270 |
8,182 |
$870K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,933 |
6,908 |
$746K |
| A0382 |
Bls routine disposable supplies |
2,235 |
1,774 |
$33K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
386 |
273 |
$15K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
598 |
459 |
$11K |
| T2003 |
Non-emergency transportation; encounter/trip |
269 |
125 |
$7K |
| A0398 |
Als routine disposable supplies |
1,857 |
1,322 |
$6K |
| A0130 |
Non-emergency transportation: wheelchair van |
103 |
47 |
$2K |