| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
99,430 |
21,256 |
$14.02M |
| A0425 |
Ground mileage, per statute mile |
200,351 |
57,628 |
$4.30M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
23,154 |
19,844 |
$3.21M |
| A0130 |
Non-emergency transportation: wheelchair van |
124,017 |
18,330 |
$2.66M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
9,351 |
8,435 |
$1.55M |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
11,819 |
4,211 |
$280K |
| A0434 |
Specialty care transport (sct) |
836 |
571 |
$181K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
234 |
139 |
$66K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
3,993 |
860 |
$33K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
11,803 |
3,483 |
$32K |