| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
52,934 |
45,007 |
$9.76M |
| A0425 |
Ground mileage, per statute mile |
83,850 |
63,431 |
$9.46M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
19,510 |
14,628 |
$2.22M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
10,918 |
9,800 |
$1.75M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,226 |
2,093 |
$424K |
| A0398 |
Als routine disposable supplies |
24,120 |
14,466 |
$280K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
5,942 |
4,873 |
$125K |
| A0435 |
Fixed wing air mileage, per statute mile |
30 |
30 |
$61K |
| A0434 |
Specialty care transport (sct) |
250 |
238 |
$51K |
| A0430 |
Ambulance service, conventional air services, transport, one way (fixed wing) |
27 |
27 |
$43K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
1,240 |
1,111 |
$1K |