| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
27,302 |
17,614 |
$3.64M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
10,665 |
7,618 |
$1.40M |
| A0425 |
Ground mileage, per statute mile |
34,516 |
21,874 |
$1.03M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
4,486 |
2,444 |
$194K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,780 |
1,325 |
$113K |
| A0433 |
Advanced life support, level 2 (als 2) |
135 |
90 |
$9K |
| A0398 |
Als routine disposable supplies |
1,255 |
840 |
$231.11 |
| A0382 |
Bls routine disposable supplies |
207 |
125 |
$163.98 |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
5,735 |
3,007 |
$0.00 |