| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
45,776 |
38,699 |
$7.51M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
34,346 |
28,968 |
$6.96M |
| A0431 |
Ambulance service, conventional air services, transport, one way (rotary wing) |
1,554 |
1,456 |
$2.70M |
| A0425 |
Ground mileage, per statute mile |
78,972 |
51,424 |
$2.39M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
23,718 |
10,771 |
$1.17M |
| A0436 |
Rotary wing air mileage, per statute mile |
1,536 |
1,442 |
$1.07M |
| A0434 |
Specialty care transport (sct) |
993 |
847 |
$208K |
| A0435 |
Fixed wing air mileage, per statute mile |
69 |
56 |
$104K |
| A0430 |
Ambulance service, conventional air services, transport, one way (fixed wing) |
54 |
44 |
$56K |
| A0433 |
Advanced life support, level 2 (als 2) |
174 |
157 |
$27K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
58 |
55 |
$8K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
786 |
661 |
$6K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
435 |
364 |
$4K |
| A0398 |
Als routine disposable supplies |
511 |
421 |
$4K |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
19,490 |
16,006 |
$3K |