| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,340 |
5,288 |
$1.11M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,307 |
2,729 |
$498K |
| A0425 |
Ground mileage, per statute mile |
12,655 |
9,010 |
$305K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,963 |
1,173 |
$106K |
| A0398 |
Als routine disposable supplies |
101 |
93 |
$408.48 |
| A0382 |
Bls routine disposable supplies |
97 |
74 |
$391.65 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
19 |
13 |
$68.25 |
| A0998 |
Ambulance response and treatment, no transport |
428 |
340 |
$0.00 |