| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
153,010 |
102,929 |
$15.88M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
91,559 |
55,564 |
$12.69M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
40,438 |
33,771 |
$11.48M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
19,095 |
16,360 |
$3.05M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
7,747 |
6,748 |
$1.39M |
| A0434 |
Specialty care transport (sct) |
4,747 |
3,632 |
$1.25M |
| A0130 |
Non-emergency transportation: wheelchair van |
2,020 |
494 |
$450K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
12,685 |
10,922 |
$390K |
| A0398 |
Als routine disposable supplies |
31,423 |
26,032 |
$387K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
5,798 |
4,795 |
$373K |
| A0382 |
Bls routine disposable supplies |
13,833 |
11,766 |
$151K |
| A0433 |
Advanced life support, level 2 (als 2) |
130 |
116 |
$55K |
| 94760 |
|
63 |
37 |
$0.00 |
| A0999 |
Unlisted ambulance service |
52 |
31 |
$0.00 |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
39 |
29 |
$0.00 |