| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
88,952 |
45,563 |
$7.76M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
33,486 |
26,484 |
$6.26M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
18,452 |
15,255 |
$2.87M |
| A0431 |
Ambulance service, conventional air services, transport, one way (rotary wing) |
1,054 |
793 |
$2.49M |
| A0436 |
Rotary wing air mileage, per statute mile |
1,075 |
786 |
$1.51M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
35,827 |
10,652 |
$1.49M |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
7,342 |
4,505 |
$282K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
11,172 |
9,080 |
$271K |
| A0398 |
Als routine disposable supplies |
12,983 |
9,727 |
$186K |
| A0434 |
Specialty care transport (sct) |
336 |
275 |
$73K |
| A0433 |
Advanced life support, level 2 (als 2) |
182 |
150 |
$34K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
138 |
99 |
$8K |
| 93041 |
|
73 |
50 |
$0.00 |