| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Als1-emergency |
25,204 |
20,462 |
$3.27M |
| A0429 |
Bls-emergency |
9,670 |
7,944 |
$1.15M |
| A0425 |
Ground mileage |
23,813 |
18,418 |
$675K |
| A0390 |
Advanced life support mileag |
10,716 |
8,549 |
$136K |
| A0428 |
Bls |
661 |
609 |
$34K |
| A0380 |
Basic life support mileage |
2,278 |
1,832 |
$28K |
| A0422 |
Ambulance 02 life sustaining |
2,329 |
1,928 |
$19K |
| A0999 |
Unlisted ambulance service |
12,018 |
3,640 |
$11K |
| A0426 |
Als 1 |
243 |
212 |
$11K |
| 93005 |
|
1,174 |
992 |
$558.47 |
| 93041 |
|
696 |
633 |
$111.11 |
| A0398 |
Als routine disposble suppls |
3,567 |
1,846 |
$32.75 |
| A0394 |
Als iv drug therapy supplies |
611 |
344 |
$24.86 |
| A0382 |
Basic support routine suppls |
14 |
12 |
$0.00 |
| J3490 |
Drugs unclassified injection |
34 |
28 |
$0.00 |
| A0888 |
Noncovered ambulance mileage |
34 |
31 |
$0.00 |