| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,028 |
825 |
$191K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
206 |
174 |
$32K |
| A0390 |
Als mileage (per mile) |
475 |
407 |
$18K |
| A0998 |
Ambulance response and treatment, no transport |
683 |
448 |
$11K |
| A0398 |
Als routine disposable supplies |
862 |
414 |
$8K |
| A0382 |
Bls routine disposable supplies |
1,215 |
564 |
$4K |
| A0380 |
Bls mileage (per mile) |
32 |
25 |
$1K |
| A0425 |
Ground mileage, per statute mile |
268 |
190 |
$1K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
38 |
24 |
$195.94 |