| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0431 |
Ambulance service, conventional air services, transport, one way (rotary wing) |
1,439 |
1,384 |
$5.37M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
12,497 |
11,325 |
$2.50M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
14,195 |
12,430 |
$2.45M |
| A0436 |
Rotary wing air mileage, per statute mile |
1,437 |
1,381 |
$1.82M |
| A0425 |
Ground mileage, per statute mile |
30,460 |
24,895 |
$1.43M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,957 |
2,685 |
$394K |
| A0432 |
Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers |
129 |
121 |
$12K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
2,641 |
2,318 |
$6K |
| A0433 |
Advanced life support, level 2 (als 2) |
12 |
12 |
$4K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
16 |
16 |
$2K |