| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,854 |
1,519 |
$240K |
| A0390 |
Als mileage (per mile) |
1,577 |
1,207 |
$96K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,012 |
803 |
$93K |
| A0998 |
Ambulance response and treatment, no transport |
649 |
483 |
$32K |
| A0434 |
Specialty care transport (sct) |
66 |
59 |
$9K |
| A0380 |
Bls mileage (per mile) |
358 |
251 |
$6K |
| A0398 |
Als routine disposable supplies |
486 |
384 |
$6K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
258 |
221 |
$4K |
| A0425 |
Ground mileage, per statute mile |
2,340 |
1,807 |
$2K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
77 |
31 |
$1K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
14 |
13 |
$0.00 |