| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0999 |
Unlisted ambulance service |
1,697 |
1,516 |
$3.10M |
| A0425 |
Ground mileage, per statute mile |
2,437 |
2,150 |
$209K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,444 |
1,286 |
$123K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
229 |
215 |
$26K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,557 |
1,277 |
$11.52 |
| 93041 |
|
37 |
37 |
$0.00 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
71 |
69 |
$0.00 |