| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
14,965 |
11,195 |
$2.78M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,854 |
4,908 |
$1.45M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,062 |
3,536 |
$1.11M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
3,957 |
2,764 |
$520K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
426 |
385 |
$94K |
| A0999 |
Unlisted ambulance service |
1,586 |
1,098 |
$38K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
47 |
43 |
$2K |
| A0382 |
Bls routine disposable supplies |
15 |
12 |
$110.00 |
| 94760 |
|
1,683 |
1,012 |
$71.56 |
| A0392 |
Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances) |
16 |
15 |
$0.00 |
| 94761 |
|
117 |
83 |
$0.00 |