| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
314,977 |
236,853 |
$43.07M |
| A0425 |
Ground mileage, per statute mile |
384,039 |
291,515 |
$23.12M |
| A0434 |
Specialty care transport (sct) |
34,168 |
27,994 |
$8.56M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
21,098 |
17,480 |
$6.56M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
22,635 |
18,461 |
$4.97M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
13,337 |
10,704 |
$3.13M |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
42,283 |
32,106 |
$746K |
| A0130 |
Non-emergency transportation: wheelchair van |
19,559 |
13,259 |
$359K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
2,541 |
2,130 |
$23K |
| A0999 |
Unlisted ambulance service |
66 |
55 |
$1K |
| 94760 |
|
685 |
502 |
$232.77 |
| 93000 |
|
95 |
57 |
$146.36 |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
12 |
12 |
$0.00 |