| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0435 |
Fixed wing air mileage, per statute mile |
14,044 |
9,580 |
$34.98M |
| A0430 |
Ambulance service, conventional air services, transport, one way (fixed wing) |
13,814 |
9,597 |
$32.40M |
| A0431 |
Ambulance service, conventional air services, transport, one way (rotary wing) |
1,689 |
1,337 |
$4.33M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
24,629 |
18,373 |
$4.23M |
| A0436 |
Rotary wing air mileage, per statute mile |
1,695 |
1,337 |
$1.74M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
9,171 |
7,251 |
$607K |
| A0425 |
Ground mileage, per statute mile |
29,887 |
20,876 |
$167K |
| A0433 |
Advanced life support, level 2 (als 2) |
30 |
24 |
$9K |
| A0434 |
Specialty care transport (sct) |
142 |
129 |
$8K |