| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
30,023 |
25,390 |
$5.15M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
31,093 |
20,345 |
$2.74M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
10,876 |
10,135 |
$2.04M |
| A0425 |
Ground mileage, per statute mile |
71,892 |
52,788 |
$1.57M |
| A0130 |
Non-emergency transportation: wheelchair van |
18,216 |
6,504 |
$530K |
| S0215 |
Non-emergency transportation; mileage, per mile |
17,641 |
6,307 |
$222K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
626 |
611 |
$83K |
| A0434 |
Specialty care transport (sct) |
144 |
140 |
$50K |
| A0999 |
Unlisted ambulance service |
842 |
698 |
$41K |
| 93000 |
|
118 |
113 |
$5K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
14 |
14 |
$900.00 |
| 0012A |
|
13 |
13 |
$56.78 |
| 0011A |
|
13 |
13 |
$33.88 |