| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
27,363 |
18,887 |
$1.93M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
9,096 |
7,220 |
$767K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
6,907 |
2,656 |
$330K |
| A0425 |
Ground mileage, per statute mile |
44,170 |
26,383 |
$216K |
| T2005 |
Non-emergency transportation; stretcher van |
503 |
239 |
$132K |
| A0998 |
Ambulance response and treatment, no transport |
2,590 |
1,910 |
$2K |
| A0382 |
Bls routine disposable supplies |
224 |
168 |
$651.05 |
| A0398 |
Als routine disposable supplies |
16 |
16 |
$9.00 |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
503 |
239 |
$0.00 |