| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
16,159 |
13,916 |
$1.07M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
13,347 |
11,545 |
$857K |
| A0434 |
Specialty care transport (sct) |
657 |
586 |
$184K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
768 |
751 |
$70K |
| T2005 |
Non-emergency transportation; stretcher van |
1,531 |
1,448 |
$40K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
144 |
137 |
$36K |
| A0380 |
Bls mileage (per mile) |
1,500 |
1,418 |
$29K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
100 |
97 |
$26K |
| 93041 |
|
139 |
112 |
$2K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
76 |
63 |
$754.48 |