| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
60,444 |
25,436 |
$2.57M |
| A0425 |
Ground mileage, per statute mile |
77,962 |
33,250 |
$2.41M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
14,391 |
11,457 |
$987K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,932 |
1,981 |
$159K |
| A0398 |
Als routine disposable supplies |
2,427 |
1,740 |
$22K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
133 |
100 |
$7K |
| A0434 |
Specialty care transport (sct) |
69 |
52 |
$3K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
83 |
55 |
$2K |
| A0382 |
Bls routine disposable supplies |
2,248 |
1,064 |
$294.54 |