| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
17,256 |
13,932 |
$2.41M |
| A0425 |
Ground mileage, per statute mile |
35,019 |
24,807 |
$1.74M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
8,056 |
6,565 |
$916K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
7,271 |
6,000 |
$749K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,251 |
1,979 |
$349K |
| A0382 |
Bls routine disposable supplies |
75 |
66 |
$492.48 |
| 93041 |
|
13 |
13 |
$46.20 |
| A0999 |
Unlisted ambulance service |
465 |
318 |
$39.75 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
46 |
40 |
$0.00 |