| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
25,662 |
18,070 |
$1.28M |
| A0434 |
Specialty care transport (sct) |
4,303 |
2,585 |
$883K |
| A0380 |
Bls mileage (per mile) |
18,377 |
11,962 |
$500K |
| A0390 |
Als mileage (per mile) |
5,163 |
3,021 |
$458K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,445 |
881 |
$205K |
| A0425 |
Ground mileage, per statute mile |
11,419 |
8,935 |
$183K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
516 |
337 |
$83K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
887 |
723 |
$43K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
3,130 |
2,105 |
$21K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
33 |
31 |
$611.61 |
| 93000 |
|
53 |
49 |
$211.20 |
| 94760 |
|
250 |
218 |
$6.98 |
| A0130 |
Non-emergency transportation: wheelchair van |
740 |
333 |
$0.00 |