| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,309 |
1,067 |
$167K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
716 |
558 |
$89K |
| A0398 |
Als routine disposable supplies |
1,437 |
465 |
$10K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
296 |
156 |
$6K |
| A0390 |
Als mileage (per mile) |
212 |
174 |
$6K |
| A0998 |
Ambulance response and treatment, no transport |
110 |
69 |
$5K |
| A0382 |
Bls routine disposable supplies |
1,059 |
242 |
$3K |
| A0380 |
Bls mileage (per mile) |
126 |
111 |
$3K |
| A0425 |
Ground mileage, per statute mile |
771 |
549 |
$554.62 |