| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,877 |
1,439 |
$289K |
| A0425 |
Ground mileage, per statute mile |
13,803 |
4,651 |
$143K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,349 |
187 |
$125K |
| A0130 |
Non-emergency transportation: wheelchair van |
8,133 |
2,271 |
$114K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
591 |
455 |
$87K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
144 |
29 |
$1K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
263 |
104 |
$708.66 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
12 |
12 |
$139.13 |