| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
25,252 |
21,002 |
$2.77M |
| A0425 |
Ground mileage, per statute mile |
50,744 |
31,206 |
$2.19M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
20,538 |
8,725 |
$988K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,497 |
3,903 |
$395K |
| A0382 |
Bls routine disposable supplies |
10,635 |
6,758 |
$223K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
2,639 |
2,210 |
$33K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
12 |
12 |
$1K |
| A0398 |
Als routine disposable supplies |
808 |
683 |
$290.75 |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
441 |
404 |
$0.00 |