| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
52,932 |
45,027 |
$12.09M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
31,386 |
26,017 |
$8.15M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
32,760 |
24,782 |
$4.75M |
| A0425 |
Ground mileage, per statute mile |
118,360 |
85,564 |
$4.09M |
| A0999 |
Unlisted ambulance service |
59,731 |
23,774 |
$1.08M |
| 93041 |
|
31,405 |
27,642 |
$494K |
| A0434 |
Specialty care transport (sct) |
734 |
692 |
$319K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,403 |
1,311 |
$294K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
5,568 |
5,104 |
$178K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
11,957 |
9,133 |
$121K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,536 |
4,241 |
$67K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
1,942 |
1,732 |
$66K |
| T2005 |
Non-emergency transportation; stretcher van |
1,811 |
1,579 |
$52K |
| A0380 |
Bls mileage (per mile) |
2,485 |
2,077 |
$33K |
| A0433 |
Advanced life support, level 2 (als 2) |
71 |
70 |
$22K |
| A0130 |
Non-emergency transportation: wheelchair van |
298 |
221 |
$11K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
1,751 |
1,531 |
$10K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
115 |
112 |
$2K |