| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
23,267 |
19,515 |
$4.31M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
38,921 |
18,912 |
$3.24M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
13,083 |
11,694 |
$2.44M |
| S0215 |
Non-emergency transportation; mileage, per mile |
12,831 |
8,009 |
$1.01M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
5,463 |
5,053 |
$669K |
| A0425 |
Ground mileage, per statute mile |
47,608 |
29,343 |
$615K |
| A0432 |
Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers |
1,339 |
1,261 |
$141K |
| 4701Y |
|
502 |
425 |
$8K |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
3,661 |
2,813 |
$5K |