| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
11,252 |
3,679 |
$771K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,074 |
3,541 |
$591K |
| A0425 |
Ground mileage, per statute mile |
19,414 |
8,005 |
$361K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,143 |
1,038 |
$127K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
649 |
290 |
$54K |
| A0398 |
Als routine disposable supplies |
1,515 |
1,055 |
$22K |
| A0382 |
Bls routine disposable supplies |
752 |
271 |
$12K |
| A0434 |
Specialty care transport (sct) |
31 |
25 |
$10K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
488 |
298 |
$5K |