| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,270 |
4,875 |
$1.46M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,029 |
4,340 |
$1.20M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
4,796 |
4,393 |
$819K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,553 |
1,462 |
$414K |
| A0425 |
Ground mileage, per statute mile |
6,272 |
5,388 |
$327K |
| A0130 |
Non-emergency transportation: wheelchair van |
1,465 |
949 |
$25K |
| A0382 |
Bls routine disposable supplies |
512 |
464 |
$2K |
| A0998 |
Ambulance response and treatment, no transport |
12 |
12 |
$1K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
152 |
139 |
$588.00 |
| A0398 |
Als routine disposable supplies |
49 |
49 |
$350.00 |