| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0431 |
Ambulance service, conventional air services, transport, one way (rotary wing) |
1,910 |
1,748 |
$4.12M |
| A0436 |
Rotary wing air mileage, per statute mile |
1,388 |
1,296 |
$1.12M |
| A0434 |
Specialty care transport (sct) |
2,550 |
1,776 |
$587K |
| A0425 |
Ground mileage, per statute mile |
5,438 |
3,932 |
$237K |
| A0430 |
Ambulance service, conventional air services, transport, one way (fixed wing) |
104 |
87 |
$218K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
340 |
329 |
$97K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
271 |
262 |
$80K |
| A0435 |
Fixed wing air mileage, per statute mile |
41 |
36 |
$60K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
4,144 |
3,147 |
$47K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
311 |
271 |
$33K |
| A0225 |
Ambulance service, neonatal transport, base rate, emergency transport, one way |
224 |
51 |
$0.00 |