| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
41,877 |
36,327 |
$8.20M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
29,942 |
27,198 |
$6.26M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
65,392 |
44,005 |
$5.54M |
| S0215 |
Non-emergency transportation; mileage, per mile |
23,577 |
16,321 |
$1.17M |
| A0425 |
Ground mileage, per statute mile |
57,103 |
41,301 |
$808K |
| A0432 |
Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers |
736 |
705 |
$88K |
| A0998 |
Ambulance response and treatment, no transport |
466 |
425 |
$37K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
240 |
236 |
$31K |
| 4701Y |
|
1,059 |
858 |
$15K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
53 |
36 |
$1K |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
34 |
28 |
$10.56 |