| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,832 |
3,278 |
$610K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,505 |
2,267 |
$490K |
| A0425 |
Ground mileage, per statute mile |
6,409 |
5,134 |
$452K |
| A0398 |
Als routine disposable supplies |
2,179 |
1,922 |
$192K |
| A0382 |
Bls routine disposable supplies |
2,865 |
2,494 |
$188K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
1,300 |
1,160 |
$77K |
| A0380 |
Bls mileage (per mile) |
322 |
293 |
$45K |
| A0390 |
Als mileage (per mile) |
288 |
273 |
$40K |
| 93041 |
|
1,078 |
943 |
$4K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
145 |
130 |
$2K |