| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,357 |
4,701 |
$861K |
| A0390 |
Als mileage (per mile) |
3,512 |
2,994 |
$597K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,242 |
3,707 |
$460K |
| A0380 |
Bls mileage (per mile) |
3,767 |
2,736 |
$456K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
6,502 |
4,874 |
$260K |
| A0998 |
Ambulance response and treatment, no transport |
1,731 |
1,437 |
$109K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
2,029 |
1,771 |
$37K |
| T2003 |
Non-emergency transportation; encounter/trip |
1,825 |
403 |
$33K |
| S0215 |
Non-emergency transportation; mileage, per mile |
1,432 |
315 |
$30K |
| A0425 |
Ground mileage, per statute mile |
9,733 |
6,883 |
$26K |
| A0398 |
Als routine disposable supplies |
3,025 |
2,632 |
$26K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
737 |
637 |
$12K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
281 |
272 |
$3K |