| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
21,802 |
8,405 |
$2.26M |
| A0425 |
Ground mileage, per statute mile |
24,689 |
10,357 |
$863K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,303 |
1,966 |
$322K |
| A0434 |
Specialty care transport (sct) |
651 |
423 |
$100K |
| A0380 |
Bls mileage (per mile) |
983 |
384 |
$17K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,001 |
640 |
$9K |
| T2005 |
Non-emergency transportation; stretcher van |
244 |
111 |
$9K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
265 |
131 |
$2K |