| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
18,786 |
13,882 |
$3.86M |
| A0998 |
Ambulance response and treatment, no transport |
2,137 |
1,791 |
$718K |
| A0425 |
Ground mileage, per statute mile |
21,604 |
15,442 |
$407K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,183 |
1,754 |
$333K |
| A0434 |
Specialty care transport (sct) |
16 |
16 |
$38K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
90 |
53 |
$0.00 |
| A0100 |
Non-emergency transportation; taxi |
944 |
216 |
$0.00 |
| A0130 |
Non-emergency transportation: wheelchair van |
2,742 |
443 |
$0.00 |
| T2005 |
Non-emergency transportation; stretcher van |
90 |
53 |
$0.00 |