| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
12,784 |
5,884 |
$492K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
5,609 |
2,227 |
$315K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,841 |
2,389 |
$305K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,758 |
1,763 |
$200K |
| A0382 |
Bls routine disposable supplies |
3,055 |
2,156 |
$48K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
140 |
60 |
$6K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
860 |
337 |
$5K |
| A0384 |
Bls specialized service disposable supplies; defibrillation (used by als ambulances and bls ambulances in jurisdictions where defibrillation is permitted in bls ambulances) |
2,310 |
730 |
$0.00 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
71 |
38 |
$0.00 |