| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
29,163 |
19,024 |
$4.41M |
| A0425 |
Ground mileage, per statute mile |
30,211 |
19,592 |
$1.77M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,159 |
2,145 |
$480K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,745 |
1,352 |
$367K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,074 |
789 |
$186K |
| A0434 |
Specialty care transport (sct) |
572 |
470 |
$119K |
| A0130 |
Non-emergency transportation: wheelchair van |
2,416 |
1,603 |
$50K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
944 |
602 |
$22K |