| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
6,761 |
4,937 |
$836K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,234 |
3,342 |
$585K |
| A0380 |
Bls mileage (per mile) |
4,293 |
3,194 |
$91K |
| A0390 |
Als mileage (per mile) |
2,657 |
2,154 |
$62K |
| A0425 |
Ground mileage, per statute mile |
4,352 |
3,540 |
$14K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
110 |
96 |
$2K |
| A0998 |
Ambulance response and treatment, no transport |
42 |
28 |
$2K |