| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,702 |
2,392 |
$578K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,990 |
2,567 |
$539K |
| A0425 |
Ground mileage, per statute mile |
8,443 |
6,157 |
$436K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,141 |
1,039 |
$195K |
| A0434 |
Specialty care transport (sct) |
174 |
143 |
$28K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
38 |
38 |
$6K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
150 |
94 |
$2K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
48 |
40 |
$0.00 |