| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,584 |
2,118 |
$219K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
756 |
662 |
$68K |
| A0390 |
Als mileage (per mile) |
97 |
86 |
$17K |
| A0380 |
Bls mileage (per mile) |
367 |
287 |
$9K |
| A0382 |
Bls routine disposable supplies |
512 |
367 |
$6K |
| A0998 |
Ambulance response and treatment, no transport |
32 |
25 |
$2K |
| A0384 |
Bls specialized service disposable supplies; defibrillation (used by als ambulances and bls ambulances in jurisdictions where defibrillation is permitted in bls ambulances) |
14 |
13 |
$244.14 |
| A0425 |
Ground mileage, per statute mile |
2,379 |
1,863 |
$218.12 |