| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
26,562 |
24,481 |
$5.27M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
29,223 |
26,389 |
$5.01M |
| A0425 |
Ground mileage, per statute mile |
65,693 |
54,262 |
$1.78M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
9,171 |
5,800 |
$1.50M |
| A0434 |
Specialty care transport (sct) |
609 |
580 |
$143K |
| A0130 |
Non-emergency transportation: wheelchair van |
2,107 |
1,423 |
$82K |
| S0209 |
Wheelchair van, mileage, per mile |
2,699 |
1,885 |
$49K |
| T2005 |
Non-emergency transportation; stretcher van |
556 |
475 |
$45K |
| A0432 |
Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers |
457 |
449 |
$37K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
123 |
110 |
$25K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
4,977 |
4,392 |
$6K |
| A0433 |
Advanced life support, level 2 (als 2) |
12 |
12 |
$4K |