| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
57,786 |
45,928 |
$2.53M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
46,370 |
37,389 |
$1.60M |
| A0434 |
Specialty care transport (sct) |
3,755 |
3,048 |
$1.15M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
7,181 |
5,542 |
$613K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
261 |
169 |
$35K |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
443 |
419 |
$29K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,818 |
1,470 |
$21K |
| A0999 |
Unlisted ambulance service |
34 |
16 |
$-17.33 |