| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
31,971 |
25,047 |
$8.30M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
24,701 |
20,527 |
$7.16M |
| A0425 |
Ground mileage, per statute mile |
69,824 |
46,405 |
$1.33M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,898 |
1,015 |
$395K |
| A0130 |
Non-emergency transportation: wheelchair van |
10,410 |
1,386 |
$177K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
8,435 |
6,302 |
$123K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
385 |
154 |
$86K |
| A0433 |
Advanced life support, level 2 (als 2) |
95 |
92 |
$18K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
96 |
40 |
$267.84 |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
46 |
26 |
$0.00 |