| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
991 |
882 |
$157K |
| A0425 |
Ground mileage, per statute mile |
2,103 |
1,573 |
$94K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
308 |
272 |
$41K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
329 |
298 |
$305.96 |
| A0398 |
Als routine disposable supplies |
703 |
568 |
$233.35 |
| A0382 |
Bls routine disposable supplies |
164 |
136 |
$129.24 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
17 |
13 |
$0.00 |