| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
7,344 |
6,162 |
$1.88M |
| A0425 |
Ground mileage, per statute mile |
32,077 |
16,838 |
$1.36M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
10,837 |
5,573 |
$1.16M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,942 |
3,839 |
$1.01M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,102 |
711 |
$229K |
| A0130 |
Non-emergency transportation: wheelchair van |
11,419 |
2,316 |
$207K |
| A0434 |
Specialty care transport (sct) |
99 |
56 |
$18K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,008 |
642 |
$13K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
414 |
268 |
$3K |