| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,404 |
4,938 |
$1.54M |
| A0425 |
Ground mileage, per statute mile |
8,860 |
6,301 |
$1.15M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,814 |
1,454 |
$267K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
2,092 |
1,649 |
$40K |
| A0398 |
Als routine disposable supplies |
2,225 |
1,642 |
$17K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
401 |
309 |
$16K |
| A0999 |
Unlisted ambulance service |
3,748 |
2,109 |
$6K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
16 |
12 |
$165.96 |