| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,850 |
168 |
$179K |
| A0425 |
Ground mileage, per statute mile |
5,249 |
632 |
$145K |
| A0100 |
Non-emergency transportation; taxi |
2,253 |
457 |
$77K |
| A0434 |
Specialty care transport (sct) |
38 |
36 |
$9K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
381 |
81 |
$6K |
| A0382 |
Bls routine disposable supplies |
356 |
60 |
$5K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
290 |
65 |
$3K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
28 |
24 |
$3K |
| A0398 |
Als routine disposable supplies |
34 |
31 |
$137.39 |