| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
63,627 |
51,557 |
$4.74M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
34,840 |
25,513 |
$4.44M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
17,931 |
16,308 |
$4.27M |
| A0434 |
Specialty care transport (sct) |
4,896 |
4,614 |
$1.07M |
| T2005 |
Non-emergency transportation; stretcher van |
22,210 |
17,736 |
$588K |
| A0380 |
Bls mileage (per mile) |
30,352 |
20,931 |
$496K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,242 |
2,089 |
$454K |
| 99402 |
|
1,293 |
812 |
$259K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
8,641 |
8,032 |
$228K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,950 |
1,797 |
$199K |
| A0130 |
Non-emergency transportation: wheelchair van |
8,849 |
4,077 |
$167K |
| A0999 |
Unlisted ambulance service |
7,567 |
7,130 |
$107K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
15,021 |
12,383 |
$82K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
6,853 |
5,613 |
$68K |
| 93041 |
|
4,465 |
4,205 |
$64K |
| A0382 |
Bls routine disposable supplies |
13,932 |
11,439 |
$59K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
1,729 |
871 |
$33K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
1,868 |
1,796 |
$25K |
| A0225 |
Ambulance service, neonatal transport, base rate, emergency transport, one way |
90 |
88 |
$25K |