| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0431 |
Ambulance service, conventional air services, transport, one way (rotary wing) |
19,634 |
17,777 |
$32.54M |
| A0436 |
Rotary wing air mileage, per statute mile |
18,774 |
17,048 |
$14.81M |
| A0430 |
Ambulance service, conventional air services, transport, one way (fixed wing) |
8,515 |
7,912 |
$14.01M |
| A0434 |
Specialty care transport (sct) |
7,606 |
5,935 |
$7.44M |
| A0435 |
Fixed wing air mileage, per statute mile |
8,214 |
7,560 |
$5.77M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
9,917 |
7,554 |
$2.66M |
| A0425 |
Ground mileage, per statute mile |
24,023 |
18,065 |
$1.44M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
773 |
604 |
$158K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
3,433 |
2,610 |
$125K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
649 |
570 |
$56K |
| A0433 |
Advanced life support, level 2 (als 2) |
94 |
73 |
$23K |
| A0130 |
Non-emergency transportation: wheelchair van |
1,857 |
1,681 |
$11K |
| S0209 |
Wheelchair van, mileage, per mile |
1,850 |
1,678 |
$5K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
264 |
188 |
$42.65 |