| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,135 |
4,652 |
$904K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,439 |
3,087 |
$563K |
| A0425 |
Ground mileage, per statute mile |
8,655 |
7,532 |
$152K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
89 |
81 |
$224.00 |
| 93000 |
|
109 |
100 |
$94.57 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
25 |
24 |
$36.00 |