| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,161 |
3,744 |
$884K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,466 |
2,225 |
$410K |
| A0425 |
Ground mileage, per statute mile |
6,949 |
6,037 |
$240K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
12 |
12 |
$132.20 |
| A0398 |
Als routine disposable supplies |
1,535 |
916 |
$0.00 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
1,014 |
722 |
$0.00 |
| A0382 |
Bls routine disposable supplies |
556 |
486 |
$0.00 |