| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
9,362 |
7,054 |
$1.12M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,984 |
4,823 |
$840K |
| A0380 |
Bls mileage (per mile) |
5,598 |
4,420 |
$86K |
| A0390 |
Als mileage (per mile) |
3,571 |
2,956 |
$62K |
| A0425 |
Ground mileage, per statute mile |
6,719 |
5,432 |
$17K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
164 |
139 |
$2K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
19 |
15 |
$569.40 |