| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
27,360 |
22,015 |
$2.51M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
9,570 |
8,848 |
$1.58M |
| A0425 |
Ground mileage, per statute mile |
53,785 |
44,397 |
$1.57M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,833 |
8,350 |
$1.40M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
4,166 |
3,891 |
$449K |
| A0434 |
Specialty care transport (sct) |
2,386 |
2,259 |
$375K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
5,326 |
4,967 |
$156K |
| A0225 |
Ambulance service, neonatal transport, base rate, emergency transport, one way |
325 |
310 |
$94K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
6,321 |
5,632 |
$60K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
949 |
668 |
$43K |