| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0431 |
Ambulance service, conventional air services, transport, one way (rotary wing) |
673 |
465 |
$1.11M |
| A0436 |
Rotary wing air mileage, per statute mile |
634 |
440 |
$329K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,466 |
768 |
$73K |
| A0390 |
Als mileage (per mile) |
175 |
136 |
$18K |
| A0425 |
Ground mileage, per statute mile |
2,345 |
1,370 |
$17K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
52 |
24 |
$3K |
| A0434 |
Specialty care transport (sct) |
42 |
25 |
$2K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
43 |
29 |
$797.16 |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
328 |
165 |
$656.78 |