| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
4,892 |
3,943 |
$514K |
| A0425 |
Ground mileage, per statute mile |
7,460 |
6,156 |
$277K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,449 |
1,210 |
$199K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,296 |
1,126 |
$184K |
| A0434 |
Specialty care transport (sct) |
254 |
241 |
$74K |
| A0130 |
Non-emergency transportation: wheelchair van |
1,210 |
845 |
$24K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
213 |
204 |
$22K |
| S0215 |
Non-emergency transportation; mileage, per mile |
1,200 |
845 |
$13K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
441 |
401 |
$0.00 |
| 93041 |
|
418 |
381 |
$0.00 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
211 |
196 |
$0.00 |