| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
886 |
673 |
$83K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
650 |
507 |
$39K |
| A0998 |
Ambulance response and treatment, no transport |
183 |
79 |
$6K |
| A0390 |
Als mileage (per mile) |
181 |
125 |
$2K |
| A0398 |
Als routine disposable supplies |
223 |
159 |
$1K |
| A0380 |
Bls mileage (per mile) |
29 |
27 |
$663.86 |
| A0425 |
Ground mileage, per statute mile |
972 |
782 |
$405.45 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
14 |
13 |
$277.75 |
| A0999 |
Unlisted ambulance service |
32 |
28 |
$60.60 |
| A0382 |
Bls routine disposable supplies |
20 |
14 |
$14.73 |