| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,817 |
4,951 |
$947K |
| A0434 |
Specialty care transport (sct) |
2,805 |
2,342 |
$687K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,472 |
2,162 |
$265K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
470 |
392 |
$56K |
| A0431 |
Ambulance service, conventional air services, transport, one way (rotary wing) |
46 |
37 |
$31K |
| A0999 |
Unlisted ambulance service |
1,497 |
1,091 |
$28K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
239 |
213 |
$17K |
| A0425 |
Ground mileage, per statute mile |
10,025 |
8,129 |
$2K |
| A0436 |
Rotary wing air mileage, per statute mile |
46 |
37 |
$2K |
| A0398 |
Als routine disposable supplies |
2,565 |
1,947 |
$96.05 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
398 |
303 |
$66.50 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
239 |
207 |
$0.00 |
| J3490 |
Unclassified drugs |
975 |
748 |
$0.00 |
| S3600 |
Stat laboratory request (situations other than s3601) |
15 |
12 |
$0.00 |