| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
231,085 |
87,968 |
$34.65M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
114,524 |
95,186 |
$19.91M |
| A0425 |
Ground mileage, per statute mile |
511,263 |
237,924 |
$18.40M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
51,738 |
44,890 |
$9.20M |
| A0130 |
Non-emergency transportation: wheelchair van |
196,951 |
49,803 |
$6.63M |
| A0434 |
Specialty care transport (sct) |
6,704 |
4,837 |
$1.61M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
5,102 |
3,440 |
$973K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
14,605 |
8,494 |
$205K |
| T2003 |
Non-emergency transportation; encounter/trip |
38 |
20 |
$402.91 |