| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
58,758 |
47,040 |
$16.77M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
53,249 |
41,072 |
$13.23M |
| A0425 |
Ground mileage, per statute mile |
140,101 |
101,074 |
$5.54M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
22,321 |
16,875 |
$3.08M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
7,792 |
6,720 |
$1.68M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
23,222 |
4,269 |
$790K |
| A0434 |
Specialty care transport (sct) |
1,965 |
1,730 |
$445K |
| T2003 |
Non-emergency transportation; encounter/trip |
849 |
803 |
$118K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
10,401 |
7,627 |
$111K |
| A0380 |
Bls mileage (per mile) |
42 |
37 |
$49K |
| A0433 |
Advanced life support, level 2 (als 2) |
114 |
101 |
$23K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
35 |
31 |
$10K |