| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
9,047 |
7,658 |
$847K |
| A0425 |
Ground mileage, per statute mile |
22,060 |
17,161 |
$693K |
| A0398 |
Als routine disposable supplies |
7,342 |
3,443 |
$508K |
| T2005 |
Non-emergency transportation; stretcher van |
2,696 |
2,217 |
$60K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
9,374 |
7,443 |
$33K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
2,364 |
1,542 |
$16K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
725 |
598 |
$4K |
| A0434 |
Specialty care transport (sct) |
104 |
91 |
$0.00 |