| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
8,747 |
8,219 |
$3.69M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,530 |
4,334 |
$2.53M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,965 |
3,832 |
$2.12M |
| A0398 |
Als routine disposable supplies |
2,994 |
2,889 |
$98K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
675 |
657 |
$70K |
| A0382 |
Bls routine disposable supplies |
3,605 |
3,459 |
$62K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,355 |
1,312 |
$20K |
| S0215 |
Non-emergency transportation; mileage, per mile |
45 |
24 |
$11K |
| A0998 |
Ambulance response and treatment, no transport |
12 |
12 |
$8K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
45 |
24 |
$647.03 |