| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,218 |
6,823 |
$3.39M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,916 |
3,311 |
$1.44M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
3,228 |
2,772 |
$1.29M |
| A0425 |
Ground mileage, per statute mile |
16,676 |
13,092 |
$1.18M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
821 |
684 |
$334K |
| A0398 |
Als routine disposable supplies |
9,830 |
7,673 |
$158K |
| A0434 |
Specialty care transport (sct) |
266 |
202 |
$92K |
| A0382 |
Bls routine disposable supplies |
7,343 |
5,890 |
$42K |
| A0433 |
Advanced life support, level 2 (als 2) |
75 |
66 |
$32K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
195 |
131 |
$25K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
3,273 |
2,490 |
$19K |