| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
926 |
713 |
$73K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
480 |
399 |
$47K |
| A0382 |
Bls routine disposable supplies |
552 |
315 |
$5K |
| A0998 |
Ambulance response and treatment, no transport |
31 |
24 |
$2K |
| A0380 |
Bls mileage (per mile) |
105 |
66 |
$898.24 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
47 |
26 |
$430.75 |
| A0425 |
Ground mileage, per statute mile |
774 |
641 |
$159.94 |