| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
38,689 |
28,260 |
$6.43M |
| A0425 |
Ground mileage, per statute mile |
65,134 |
49,606 |
$3.19M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
14,305 |
13,670 |
$2.34M |
| A0434 |
Specialty care transport (sct) |
3,894 |
2,814 |
$1.39M |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
26,006 |
22,741 |
$1.19M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,829 |
5,395 |
$1.18M |
| A0999 |
Unlisted ambulance service |
8,615 |
6,764 |
$225K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
644 |
606 |
$108K |
| A0130 |
Non-emergency transportation: wheelchair van |
9,043 |
8,206 |
$60K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
1,751 |
1,216 |
$41K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
5,847 |
4,409 |
$40K |
| A0382 |
Bls routine disposable supplies |
16,570 |
13,644 |
$24K |
| A0396 |
Als specialized service disposable supplies; esophageal intubation |
2,901 |
2,503 |
$3K |
| T2005 |
Non-emergency transportation; stretcher van |
81 |
66 |
$840.24 |
| A0380 |
Bls mileage (per mile) |
79 |
67 |
$483.62 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
15 |
15 |
$0.00 |