| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
32,166 |
15,328 |
$1.61M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
11,545 |
9,428 |
$1.07M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
16,434 |
5,238 |
$660K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,571 |
2,915 |
$211K |
| A0382 |
Bls routine disposable supplies |
6,355 |
3,345 |
$132K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,005 |
715 |
$12K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
91 |
85 |
$6K |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
78 |
75 |
$0.00 |