| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
29,973 |
26,038 |
$7.74M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
19,549 |
16,790 |
$4.87M |
| A0425 |
Ground mileage, per statute mile |
47,013 |
38,906 |
$1.02M |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
10,236 |
7,821 |
$94K |
| A0433 |
Advanced life support, level 2 (als 2) |
17 |
16 |
$6K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
35 |
35 |
$1K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
2,294 |
1,254 |
$454.30 |
| A0999 |
Unlisted ambulance service |
153 |
143 |
$0.00 |