| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
162,638 |
127,849 |
$26.36M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
34,910 |
31,339 |
$5.88M |
| A0380 |
Bls mileage (per mile) |
173,683 |
123,764 |
$4.70M |
| A0434 |
Specialty care transport (sct) |
9,534 |
7,353 |
$2.97M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
75,662 |
51,331 |
$2.95M |
| A0390 |
Als mileage (per mile) |
37,660 |
32,698 |
$2.15M |
| A0998 |
Ambulance response and treatment, no transport |
17,723 |
15,429 |
$1.06M |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
18,456 |
14,188 |
$320K |
| A0398 |
Als routine disposable supplies |
15,119 |
12,860 |
$259K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
6,114 |
5,649 |
$184K |
| A0425 |
Ground mileage, per statute mile |
75,306 |
44,359 |
$158K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
3,078 |
2,219 |
$157K |
| A0382 |
Bls routine disposable supplies |
7,468 |
6,794 |
$106K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
2,908 |
1,745 |
$48K |
| A0225 |
Ambulance service, neonatal transport, base rate, emergency transport, one way |
174 |
154 |
$46K |
| T2003 |
Non-emergency transportation; encounter/trip |
45 |
42 |
$3K |
| A0999 |
Unlisted ambulance service |
172 |
159 |
$161.60 |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
19 |
15 |
$0.00 |