| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,679 |
2,162 |
$507K |
| A0425 |
Ground mileage, per statute mile |
4,885 |
3,709 |
$465K |
| S0215 |
Non-emergency transportation; mileage, per mile |
3,810 |
2,113 |
$423K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,016 |
863 |
$131K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
803 |
671 |
$126K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
699 |
550 |
$113K |
| A0380 |
Bls mileage (per mile) |
279 |
248 |
$28K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
5,102 |
2,221 |
$21K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
330 |
309 |
$12K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
173 |
152 |
$3K |