| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
15,295 |
13,158 |
$2.03M |
| A0425 |
Ground mileage, per statute mile |
26,062 |
20,133 |
$769K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,891 |
3,575 |
$487K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
6,443 |
5,043 |
$285K |
| A0431 |
Ambulance service, conventional air services, transport, one way (rotary wing) |
46 |
45 |
$104K |
| A0398 |
Als routine disposable supplies |
3,888 |
3,367 |
$66K |
| A0382 |
Bls routine disposable supplies |
3,220 |
2,507 |
$29K |
| A0433 |
Advanced life support, level 2 (als 2) |
114 |
113 |
$20K |
| A0436 |
Rotary wing air mileage, per statute mile |
46 |
45 |
$18K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
375 |
356 |
$16K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,134 |
999 |
$14K |
| A0998 |
Ambulance response and treatment, no transport |
124 |
119 |
$0.00 |