| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
14,542 |
10,920 |
$2.23M |
| A0382 |
Bls routine disposable supplies |
10,289 |
7,600 |
$1.01M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,823 |
5,262 |
$963K |
| A0398 |
Als routine disposable supplies |
4,177 |
3,736 |
$472K |
| A0425 |
Ground mileage, per statute mile |
21,764 |
15,982 |
$238K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
3,029 |
2,747 |
$179K |
| A0380 |
Bls mileage (per mile) |
361 |
310 |
$48K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,864 |
1,452 |
$45K |
| 93041 |
|
3,195 |
2,883 |
$12K |
| A0390 |
Als mileage (per mile) |
69 |
67 |
$6K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
475 |
423 |
$6K |