| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,237 |
6,487 |
$1.62M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
7,098 |
5,368 |
$1.26M |
| A0425 |
Ground mileage, per statute mile |
15,768 |
11,339 |
$429K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
732 |
576 |
$7K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
124 |
121 |
$5K |
| 93041 |
|
1,469 |
950 |
$108.50 |
| A0398 |
Als routine disposable supplies |
579 |
441 |
$0.00 |
| A0384 |
Bls specialized service disposable supplies; defibrillation (used by als ambulances and bls ambulances in jurisdictions where defibrillation is permitted in bls ambulances) |
85 |
35 |
$0.00 |