| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
79,331 |
51,515 |
$6.09M |
| A0130 |
Non-emergency transportation: wheelchair van |
58,689 |
25,968 |
$1.80M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
12,969 |
12,197 |
$1.67M |
| A0425 |
Ground mileage, per statute mile |
93,043 |
61,431 |
$1.34M |
| S0215 |
Non-emergency transportation; mileage, per mile |
57,529 |
25,483 |
$667K |
| A0999 |
Unlisted ambulance service |
1,132 |
492 |
$88K |
| A0434 |
Specialty care transport (sct) |
164 |
103 |
$77K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
177 |
176 |
$37K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
62 |
60 |
$9K |
| A0998 |
Ambulance response and treatment, no transport |
44 |
42 |
$7K |
| S0209 |
Wheelchair van, mileage, per mile |
82 |
41 |
$2K |
| 0124A |
|
19 |
18 |
$688.05 |
| 0134A |
|
13 |
12 |
$458.70 |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
864 |
787 |
$98.08 |
| 91300 |
|
15 |
15 |
$0.00 |