| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,000 |
826 |
$207K |
| A0425 |
Ground mileage, per statute mile |
2,891 |
2,163 |
$201K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
208 |
171 |
$45K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
37 |
16 |
$3K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
13 |
13 |
$1K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
14 |
13 |
$210.06 |