| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
29,087 |
8,348 |
$2.80M |
| A0425 |
Ground mileage, per statute mile |
90,151 |
27,431 |
$2.33M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,361 |
7,089 |
$1.77M |
| A0130 |
Non-emergency transportation: wheelchair van |
72,060 |
12,766 |
$1.60M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,723 |
4,606 |
$1.07M |
| A0434 |
Specialty care transport (sct) |
353 |
260 |
$70K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
4,954 |
1,247 |
$40K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,143 |
555 |
$17K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
73 |
50 |
$10K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
191 |
82 |
$4K |