| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
15,003 |
10,418 |
$2.00M |
| A0425 |
Ground mileage, per statute mile |
20,551 |
15,430 |
$1.20M |
| A0434 |
Specialty care transport (sct) |
3,191 |
2,920 |
$874K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,167 |
2,087 |
$482K |
| A0999 |
Unlisted ambulance service |
839 |
551 |
$274K |
| T2005 |
Non-emergency transportation; stretcher van |
1,206 |
634 |
$244K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
3,108 |
2,741 |
$86K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
1,593 |
1,536 |
$53K |
| S0209 |
Wheelchair van, mileage, per mile |
963 |
502 |
$47K |
| 93041 |
|
945 |
907 |
$15K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
185 |
94 |
$3K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
265 |
263 |
$2K |
| A0380 |
Bls mileage (per mile) |
61 |
45 |
$2K |