| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,863 |
3,179 |
$489K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,375 |
2,073 |
$368K |
| A0380 |
Bls mileage (per mile) |
2,445 |
2,061 |
$65K |
| A0390 |
Als mileage (per mile) |
1,470 |
1,273 |
$42K |
| A0398 |
Als routine disposable supplies |
3,636 |
1,398 |
$34K |
| A0382 |
Bls routine disposable supplies |
1,497 |
1,276 |
$22K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
489 |
417 |
$12K |
| A0425 |
Ground mileage, per statute mile |
2,144 |
1,820 |
$6K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
194 |
175 |
$2K |
| A0998 |
Ambulance response and treatment, no transport |
16 |
15 |
$828.00 |