| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,683 |
3,399 |
$497K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,754 |
3,646 |
$486K |
| A0425 |
Ground mileage, per statute mile |
15,568 |
7,574 |
$451K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,881 |
1,201 |
$68K |
| T2003 |
Non-emergency transportation; encounter/trip |
2,799 |
809 |
$32K |
| A0130 |
Non-emergency transportation: wheelchair van |
1,241 |
370 |
$27K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
131 |
67 |
$5K |
| A0998 |
Ambulance response and treatment, no transport |
21 |
18 |
$997.23 |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
147 |
43 |
$697.00 |
| A0382 |
Bls routine disposable supplies |
63 |
61 |
$0.00 |
| A0398 |
Als routine disposable supplies |
228 |
193 |
$0.00 |