| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,138 |
1,539 |
$197K |
| A0425 |
Ground mileage, per statute mile |
4,387 |
2,645 |
$118K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
887 |
703 |
$69K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
337 |
241 |
$20K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
179 |
139 |
$9K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
565 |
377 |
$2K |
| A0392 |
Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances) |
1,547 |
959 |
$0.00 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
1,342 |
797 |
$0.00 |
| A0398 |
Als routine disposable supplies |
198 |
138 |
$0.00 |