| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
17,961 |
10,918 |
$4.08M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
10,877 |
7,890 |
$3.06M |
| A0425 |
Ground mileage, per statute mile |
40,396 |
23,480 |
$2.89M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
10,528 |
7,256 |
$1.04M |
| A0998 |
Ambulance response and treatment, no transport |
2,530 |
1,791 |
$111K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
2,682 |
1,753 |
$49K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
267 |
183 |
$36K |
| A0398 |
Als routine disposable supplies |
96 |
83 |
$7K |
| A0392 |
Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances) |
22 |
20 |
$2K |
| 94760 |
|
46 |
36 |
$1K |