| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,419 |
1,836 |
$338K |
| A0425 |
Ground mileage, per statute mile |
4,248 |
3,022 |
$270K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
197 |
172 |
$22K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
2,262 |
1,454 |
$16K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
131 |
117 |
$13K |
| A0398 |
Als routine disposable supplies |
1,386 |
1,135 |
$6K |
| 93041 |
|
1,799 |
1,285 |
$5K |
| A0382 |
Bls routine disposable supplies |
1,051 |
860 |
$5K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
14 |
12 |
$2K |