| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
315,512 |
207,063 |
$28.88M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
161,145 |
135,082 |
$28.41M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
104,236 |
92,922 |
$22.00M |
| A0425 |
Ground mileage, per statute mile |
594,483 |
392,089 |
$16.59M |
| A0130 |
Non-emergency transportation: wheelchair van |
153,220 |
45,983 |
$4.51M |
| A0434 |
Specialty care transport (sct) |
8,201 |
7,624 |
$2.94M |
| S0215 |
Non-emergency transportation; mileage, per mile |
149,294 |
44,217 |
$1.86M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
7,673 |
6,755 |
$1.01M |
| A0999 |
Unlisted ambulance service |
2,828 |
299 |
$370K |
| A0433 |
Advanced life support, level 2 (als 2) |
655 |
643 |
$169K |
| 0001A |
|
2,231 |
2,229 |
$95K |
| 0002A |
|
1,831 |
1,825 |
$78K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
471 |
113 |
$47K |
| 0004A |
|
739 |
738 |
$30K |
| 0012A |
|
700 |
699 |
$21K |
| 0011A |
|
764 |
759 |
$20K |
| 0031A |
|
401 |
401 |
$15K |
| 0064A |
|
383 |
383 |
$12K |
| 0003A |
|
303 |
301 |
$11K |
| A0998 |
Ambulance response and treatment, no transport |
72 |
71 |
$11K |
| S0209 |
Wheelchair van, mileage, per mile |
398 |
173 |
$8K |
| 0071A |
|
174 |
174 |
$8K |
| 0072A |
|
166 |
166 |
$8K |
| 0013A |
|
161 |
161 |
$4K |
| 0054A |
|
50 |
50 |
$1K |
| 0124A |
|
32 |
32 |
$1K |
| 0134A |
|
15 |
15 |
$550.44 |
| 0034A |
|
12 |
12 |
$508.75 |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
558 |
500 |
$243.88 |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
68 |
22 |
$4.50 |
| 91300 |
|
142 |
137 |
$0.00 |
| 91307 |
|
13 |
13 |
$0.00 |
| 91301 |
|
43 |
41 |
$0.00 |