| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
30,649 |
14,220 |
$3.41M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,860 |
2,162 |
$348K |
| A0425 |
Ground mileage, per statute mile |
32,507 |
15,541 |
$322K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
956 |
858 |
$140K |
| A0999 |
Unlisted ambulance service |
46 |
36 |
$24K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
105 |
66 |
$16K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
30 |
26 |
$5K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
657 |
419 |
$4K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
17 |
16 |
$2K |
| A0380 |
Bls mileage (per mile) |
84 |
72 |
$503.18 |