| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0434 |
Specialty care transport (sct) |
836 |
182 |
$490K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
951 |
189 |
$277K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
635 |
157 |
$42K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
927 |
320 |
$38K |
| A0380 |
Bls mileage (per mile) |
939 |
300 |
$35K |
| A0130 |
Non-emergency transportation: wheelchair van |
216 |
83 |
$19K |
| A0425 |
Ground mileage, per statute mile |
161 |
38 |
$11K |