| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
79,343 |
53,970 |
$7.73M |
| A0425 |
Ground mileage, per statute mile |
97,823 |
68,972 |
$3.18M |
| A0130 |
Non-emergency transportation: wheelchair van |
59,560 |
23,042 |
$1.78M |
| A0434 |
Specialty care transport (sct) |
3,808 |
3,567 |
$1.74M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
9,414 |
8,893 |
$1.33M |
| S0215 |
Non-emergency transportation; mileage, per mile |
54,715 |
21,363 |
$830K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,741 |
3,610 |
$649K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,281 |
1,087 |
$177K |
| S0209 |
Wheelchair van, mileage, per mile |
2,787 |
773 |
$92K |
| A0999 |
Unlisted ambulance service |
479 |
152 |
$49K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
114 |
55 |
$11K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
609 |
285 |
$2K |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
124 |
93 |
$0.00 |