| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
6,145 |
4,877 |
$693K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,369 |
3,648 |
$603K |
| A0380 |
Bls mileage (per mile) |
3,713 |
2,995 |
$157K |
| A0390 |
Als mileage (per mile) |
2,993 |
2,522 |
$136K |
| A0398 |
Als routine disposable supplies |
7,649 |
2,950 |
$69K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
2,202 |
1,726 |
$51K |
| A0998 |
Ambulance response and treatment, no transport |
420 |
355 |
$24K |
| A0425 |
Ground mileage, per statute mile |
3,864 |
3,307 |
$19K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
848 |
721 |
$12K |
| 93041 |
|
154 |
89 |
$0.00 |