| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
9,606 |
8,387 |
$1.53M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,094 |
4,463 |
$734K |
| A0425 |
Ground mileage, per statute mile |
15,346 |
12,894 |
$391K |
| A0398 |
Als routine disposable supplies |
1,559 |
1,209 |
$87K |
| A0382 |
Bls routine disposable supplies |
1,184 |
926 |
$41K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
54 |
46 |
$666.00 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
26 |
26 |
$0.00 |