| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0431 |
Ambulance service, conventional air services, transport, one way (rotary wing) |
5,140 |
3,950 |
$9.95M |
| A0436 |
Rotary wing air mileage, per statute mile |
5,150 |
3,950 |
$7.69M |
| A0425 |
Ground mileage, per statute mile |
5,931 |
4,206 |
$1.16M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
4,399 |
3,158 |
$746K |
| A0435 |
Fixed wing air mileage, per statute mile |
593 |
208 |
$291K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
572 |
387 |
$94K |
| A0434 |
Specialty care transport (sct) |
1,711 |
1,199 |
$94K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
237 |
213 |
$34K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
19 |
12 |
$408.16 |
| A0225 |
Ambulance service, neonatal transport, base rate, emergency transport, one way |
49 |
31 |
$0.00 |