| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0999 |
Unlisted ambulance service |
1,013 |
833 |
$663K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,795 |
2,239 |
$189K |
| A0425 |
Ground mileage, per statute mile |
5,061 |
3,582 |
$118K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,399 |
1,132 |
$73K |
| A0398 |
Als routine disposable supplies |
1,341 |
1,084 |
$7K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
111 |
66 |
$5K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
139 |
120 |
$2K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
29 |
27 |
$1K |