| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,756 |
2,398 |
$416K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,391 |
2,029 |
$249K |
| A0390 |
Als mileage (per mile) |
1,755 |
1,464 |
$238K |
| A0431 |
Ambulance service, conventional air services, transport, one way (rotary wing) |
102 |
75 |
$180K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,672 |
2,027 |
$129K |
| A0380 |
Bls mileage (per mile) |
1,585 |
1,079 |
$129K |
| A0425 |
Ground mileage, per statute mile |
5,125 |
4,189 |
$88K |
| A0436 |
Rotary wing air mileage, per statute mile |
102 |
75 |
$79K |
| A0398 |
Als routine disposable supplies |
1,883 |
1,382 |
$29K |
| A0434 |
Specialty care transport (sct) |
56 |
54 |
$17K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
649 |
537 |
$16K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
595 |
424 |
$7K |