| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0430 |
Ambulance service, conventional air services, transport, one way (fixed wing) |
2,032 |
1,882 |
$7.30M |
| A0435 |
Fixed wing air mileage, per statute mile |
2,043 |
1,890 |
$6.07M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,751 |
3,304 |
$2.55M |
| A0431 |
Ambulance service, conventional air services, transport, one way (rotary wing) |
556 |
532 |
$2.54M |
| A0425 |
Ground mileage, per statute mile |
6,248 |
5,275 |
$2.29M |
| A0436 |
Rotary wing air mileage, per statute mile |
555 |
532 |
$2.21M |
| A0434 |
Specialty care transport (sct) |
1,874 |
1,514 |
$2.12M |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
2,038 |
1,594 |
$378K |
| A0398 |
Als routine disposable supplies |
3,188 |
1,981 |
$65K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
92 |
87 |
$40K |
| A0382 |
Bls routine disposable supplies |
18 |
14 |
$222.42 |
| S8301 |
Infection control supplies, not otherwise specified |
798 |
669 |
$108.12 |