| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0380 |
Bls mileage (per mile) |
740 |
663 |
$128K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
552 |
465 |
$81K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
681 |
586 |
$63K |
| A0425 |
Ground mileage, per statute mile |
1,162 |
1,020 |
$47K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
231 |
212 |
$40K |
| A0382 |
Bls routine disposable supplies |
1,285 |
1,093 |
$30K |
| A0390 |
Als mileage (per mile) |
204 |
186 |
$10K |
| A0398 |
Als routine disposable supplies |
179 |
162 |
$7K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
29 |
29 |
$1K |
| A0999 |
Unlisted ambulance service |
12 |
12 |
$0.00 |