| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
15,990 |
10,732 |
$1.54M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,800 |
3,992 |
$497K |
| A0425 |
Ground mileage, per statute mile |
32,047 |
17,113 |
$317K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
9,042 |
4,048 |
$76K |
| A0433 |
Advanced life support, level 2 (als 2) |
44 |
37 |
$9K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
405 |
316 |
$3K |
| A0380 |
Bls mileage (per mile) |
66 |
39 |
$1K |
| A0398 |
Als routine disposable supplies |
237 |
199 |
$780.83 |
| A0382 |
Bls routine disposable supplies |
129 |
107 |
$376.93 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
163 |
140 |
$115.01 |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
92 |
53 |
$66.64 |
| A0998 |
Ambulance response and treatment, no transport |
44 |
28 |
$0.00 |