| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,674 |
1,337 |
$154K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
5,683 |
1,851 |
$113K |
| A0425 |
Ground mileage, per statute mile |
7,185 |
3,213 |
$33K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
155 |
145 |
$6K |
| A0380 |
Bls mileage (per mile) |
547 |
232 |
$5K |
| A0398 |
Als routine disposable supplies |
499 |
193 |
$249.64 |
| A0382 |
Bls routine disposable supplies |
170 |
74 |
$0.00 |
| A0392 |
Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances) |
19 |
13 |
$0.00 |