| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
12,750 |
7,025 |
$570K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,782 |
3,531 |
$547K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,926 |
3,606 |
$486K |
| A0425 |
Ground mileage, per statute mile |
21,122 |
12,774 |
$465K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
45 |
44 |
$2K |
| A0382 |
Bls routine disposable supplies |
153 |
74 |
$18.88 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
47 |
29 |
$0.00 |