| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0434 |
Specialty care transport (sct) |
5,912 |
5,420 |
$2.28M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
26,108 |
22,755 |
$1.46M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
9,658 |
8,976 |
$1.29M |
| A0425 |
Ground mileage, per statute mile |
66,191 |
51,852 |
$666K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
25,367 |
20,794 |
$443K |
| A0998 |
Ambulance response and treatment, no transport |
2,858 |
2,139 |
$127K |
| A0431 |
Ambulance service, conventional air services, transport, one way (rotary wing) |
22 |
16 |
$31K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
4,464 |
3,903 |
$30K |
| A0433 |
Advanced life support, level 2 (als 2) |
48 |
43 |
$15K |
| A0436 |
Rotary wing air mileage, per statute mile |
22 |
16 |
$5K |
| A0130 |
Non-emergency transportation: wheelchair van |
50 |
42 |
$50.00 |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
50 |
42 |
$0.00 |