| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,067 |
2,420 |
$590K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,937 |
1,656 |
$413K |
| A0425 |
Ground mileage, per statute mile |
5,556 |
4,210 |
$62K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
215 |
162 |
$21K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
344 |
313 |
$6K |
| A0999 |
Unlisted ambulance service |
51 |
44 |
$336.00 |
| A0398 |
Als routine disposable supplies |
57 |
56 |
$0.00 |