| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,253 |
1,051 |
$182K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,033 |
896 |
$116K |
| A0425 |
Ground mileage, per statute mile |
2,377 |
1,944 |
$34K |
| A0398 |
Als routine disposable supplies |
1,316 |
478 |
$9K |
| A0382 |
Bls routine disposable supplies |
1,706 |
679 |
$9K |
| A0999 |
Unlisted ambulance service |
130 |
111 |
$256.08 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
222 |
171 |
$0.00 |
| A0998 |
Ambulance response and treatment, no transport |
44 |
38 |
$0.00 |