| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
47,692 |
33,018 |
$3.06M |
| A0425 |
Ground mileage, per statute mile |
73,556 |
51,056 |
$1.65M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
12,654 |
11,036 |
$1.48M |
| A0130 |
Non-emergency transportation: wheelchair van |
44,166 |
13,879 |
$990K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
7,251 |
6,353 |
$569K |
| S0209 |
Wheelchair van, mileage, per mile |
44,189 |
13,903 |
$475K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
5,250 |
4,438 |
$349K |
| A0434 |
Specialty care transport (sct) |
664 |
593 |
$82K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
484 |
402 |
$0.00 |
| A0396 |
Als specialized service disposable supplies; esophageal intubation |
630 |
257 |
$0.00 |