| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
32,036 |
21,992 |
$6.37M |
| A0434 |
Specialty care transport (sct) |
644 |
560 |
$1.04M |
| A0425 |
Ground mileage, per statute mile |
38,702 |
25,233 |
$654K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,201 |
3,515 |
$554K |
| A0998 |
Ambulance response and treatment, no transport |
3,348 |
2,278 |
$518K |
| A0100 |
Non-emergency transportation; taxi |
476,445 |
83,162 |
$334K |
| A0180 |
Non-emergency transportation: ancillary: lodging-recipient |
139 |
82 |
$600.00 |
| A0210 |
Non-emergency transportation: ancillary: meals-escort |
1,716 |
509 |
$457.50 |
| A0190 |
Non-emergency transportation: ancillary: meals-recipient |
3,145 |
1,156 |
$283.50 |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
15 |
12 |
$111.10 |
| T2005 |
Non-emergency transportation; stretcher van |
3,324 |
1,998 |
$0.00 |
| A0130 |
Non-emergency transportation: wheelchair van |
86,993 |
18,914 |
$0.00 |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
3,314 |
1,990 |
$0.00 |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
115,686 |
16,670 |
$0.00 |