| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,150 |
4,472 |
$912K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,965 |
2,406 |
$435K |
| A0425 |
Ground mileage, per statute mile |
8,489 |
6,843 |
$119K |
| A0398 |
Als routine disposable supplies |
2,515 |
2,170 |
$42K |
| A0382 |
Bls routine disposable supplies |
1,313 |
1,111 |
$22K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
395 |
365 |
$5K |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
15 |
12 |
$0.00 |