| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,955 |
3,737 |
$958K |
| A0425 |
Ground mileage, per statute mile |
13,749 |
6,121 |
$942K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,931 |
1,477 |
$197K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
5,807 |
1,490 |
$179K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
855 |
617 |
$25K |
| A0398 |
Als routine disposable supplies |
795 |
557 |
$15K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
283 |
187 |
$13K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
19 |
13 |
$1K |