| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,829 |
2,526 |
$382K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,966 |
1,731 |
$252K |
| A0425 |
Ground mileage, per statute mile |
6,260 |
4,581 |
$126K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
690 |
398 |
$36K |
| A0382 |
Bls routine disposable supplies |
1,102 |
770 |
$17K |
| A0398 |
Als routine disposable supplies |
926 |
828 |
$16K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
35 |
32 |
$3K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
17 |
13 |
$13.65 |