| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2003 |
Non-emergency transportation; encounter/trip |
3,313 |
2,103 |
$1.12M |
| A0425 |
Ground mileage, per statute mile |
17,581 |
5,726 |
$445K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
15,171 |
3,794 |
$133K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
899 |
820 |
$45K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
32 |
26 |
$424.50 |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
4,676 |
2,446 |
$72.13 |