| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0100 |
Non-emergency transportation; taxi |
623,992 |
96,238 |
$9.79M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
71,470 |
48,390 |
$6.39M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
26,645 |
23,145 |
$4.95M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
52,946 |
32,094 |
$2.15M |
| A0130 |
Non-emergency transportation: wheelchair van |
89,041 |
9,962 |
$1.95M |
| A0425 |
Ground mileage, per statute mile |
471,814 |
148,117 |
$1.88M |
| A0999 |
Unlisted ambulance service |
28,080 |
3,885 |
$1.16M |
| A0434 |
Specialty care transport (sct) |
3,680 |
2,333 |
$678K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,180 |
1,403 |
$244K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
4,856 |
163 |
$89K |
| A0382 |
Bls routine disposable supplies |
3,084 |
2,238 |
$3K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
197 |
58 |
$2K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
950 |
711 |
$2K |
| A0398 |
Als routine disposable supplies |
1,503 |
1,413 |
$360.00 |
| A0140 |
Non-emergency transportation and air travel (private or commercial) intra or inter state |
161 |
36 |
$70.00 |