| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
73,697 |
52,868 |
$8.04M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
10,094 |
9,287 |
$1.20M |
| A0425 |
Ground mileage, per statute mile |
74,303 |
54,240 |
$815K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,260 |
2,201 |
$488K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,526 |
1,387 |
$283K |
| A0434 |
Specialty care transport (sct) |
552 |
490 |
$147K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
4,191 |
3,089 |
$104K |
| A0999 |
Unlisted ambulance service |
52 |
36 |
$39K |
| 0031A |
|
1,075 |
1,006 |
$26K |
| A0380 |
Bls mileage (per mile) |
3,344 |
2,687 |
$19K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
90 |
75 |
$15K |
| 0011A |
|
288 |
285 |
$4K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
12 |
12 |
$922.73 |
| 0001A |
|
15 |
15 |
$480.00 |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
22 |
22 |
$84.89 |