| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
10,027 |
7,696 |
$918K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,750 |
3,259 |
$601K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,978 |
2,544 |
$361K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,130 |
1,318 |
$197K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
672 |
579 |
$98K |
| A0398 |
Als routine disposable supplies |
4,872 |
3,745 |
$45K |
| 93041 |
|
887 |
784 |
$4K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
109 |
95 |
$2K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
14 |
14 |
$0.00 |