| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
15,441 |
11,899 |
$2.27M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
7,740 |
5,896 |
$1.00M |
| A0425 |
Ground mileage, per statute mile |
23,817 |
16,890 |
$171K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
3,164 |
2,696 |
$87K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
289 |
233 |
$26K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
663 |
537 |
$5K |
| A0380 |
Bls mileage (per mile) |
541 |
380 |
$5K |