| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
41,263 |
31,625 |
$6.73M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
21,030 |
17,524 |
$3.72M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
17,433 |
12,132 |
$1.45M |
| A0425 |
Ground mileage, per statute mile |
66,725 |
46,984 |
$770K |
| S0215 |
Non-emergency transportation; mileage, per mile |
4,764 |
3,619 |
$267K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
415 |
404 |
$59K |
| 4701Y |
|
1,279 |
1,080 |
$24K |
| A0998 |
Ambulance response and treatment, no transport |
38 |
34 |
$2K |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
171 |
156 |
$0.00 |