| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0999 |
Unlisted ambulance service |
766 |
673 |
$474K |
| A0425 |
Ground mileage, per statute mile |
2,795 |
2,263 |
$137K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
871 |
770 |
$47K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
493 |
445 |
$34K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
126 |
117 |
$10K |
| A0398 |
Als routine disposable supplies |
30 |
27 |
$0.00 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
827 |
656 |
$0.00 |
| A0382 |
Bls routine disposable supplies |
93 |
85 |
$0.00 |