| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
27,888 |
19,276 |
$2.95M |
| A0425 |
Ground mileage, per statute mile |
37,511 |
26,094 |
$2.83M |
| A0100 |
Non-emergency transportation; taxi |
93,756 |
6,842 |
$1.43M |
| S0215 |
Non-emergency transportation; mileage, per mile |
83,963 |
6,842 |
$656K |
| A0434 |
Specialty care transport (sct) |
1,275 |
1,159 |
$470K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,028 |
2,632 |
$448K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,931 |
2,617 |
$379K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,985 |
1,699 |
$312K |
| A0999 |
Unlisted ambulance service |
3,387 |
2,637 |
$41K |
| A0225 |
Ambulance service, neonatal transport, base rate, emergency transport, one way |
13 |
13 |
$4K |
| A0130 |
Non-emergency transportation: wheelchair van |
206 |
28 |
$4K |
| 0002A |
|
33 |
32 |
$1K |
| 0001A |
|
31 |
31 |
$1K |
| S0209 |
Wheelchair van, mileage, per mile |
147 |
27 |
$787.52 |
| 0064A |
|
12 |
12 |
$298.32 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
320 |
289 |
$0.00 |
| 0031A |
|
28 |
28 |
$0.00 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,893 |
1,549 |
$0.00 |