| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,756 |
2,991 |
$563K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
943 |
686 |
$126K |
| A0390 |
Als mileage (per mile) |
2,671 |
2,110 |
$80K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
896 |
775 |
$24K |
| A0398 |
Als routine disposable supplies |
1,510 |
1,307 |
$23K |
| A0998 |
Ambulance response and treatment, no transport |
397 |
267 |
$15K |
| A0380 |
Bls mileage (per mile) |
437 |
289 |
$9K |
| A0425 |
Ground mileage, per statute mile |
1,447 |
1,173 |
$8K |
| A0392 |
Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances) |
105 |
91 |
$3K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
14 |
12 |
$239.58 |