| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0999 |
Unlisted ambulance service |
3,111 |
2,543 |
$2.93M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,821 |
4,068 |
$304K |
| A0425 |
Ground mileage, per statute mile |
11,129 |
8,018 |
$281K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,605 |
2,271 |
$147K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,112 |
1,934 |
$111K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,200 |
1,114 |
$68K |
| A0398 |
Als routine disposable supplies |
2,309 |
1,882 |
$11K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
158 |
129 |
$2K |