| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
25,425 |
17,302 |
$2.96M |
| A0425 |
Ground mileage, per statute mile |
49,946 |
30,928 |
$2.52M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,139 |
5,384 |
$775K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,846 |
4,235 |
$682K |
| A0434 |
Specialty care transport (sct) |
2,414 |
2,139 |
$548K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,255 |
1,860 |
$479K |
| A0130 |
Non-emergency transportation: wheelchair van |
13,515 |
4,841 |
$268K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
2,008 |
1,611 |
$30K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
192 |
74 |
$77.58 |