| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
15,302 |
13,280 |
$2.63M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,664 |
7,976 |
$1.67M |
| A0425 |
Ground mileage, per statute mile |
27,094 |
22,230 |
$1.08M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,220 |
1,930 |
$236K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
750 |
738 |
$78K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
2,924 |
2,487 |
$5K |
| A0432 |
Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers |
39 |
38 |
$4K |
| A0130 |
Non-emergency transportation: wheelchair van |
29 |
12 |
$1K |
| S0209 |
Wheelchair van, mileage, per mile |
29 |
12 |
$699.75 |