| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,187 |
902 |
$625K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,104 |
674 |
$47K |
| A0425 |
Ground mileage, per statute mile |
2,936 |
1,998 |
$45K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
166 |
108 |
$3K |
| A0398 |
Als routine disposable supplies |
1,503 |
653 |
$327.42 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
327 |
126 |
$159.32 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
803 |
342 |
$0.00 |
| A0999 |
Unlisted ambulance service |
76 |
66 |
$0.00 |
| A0382 |
Bls routine disposable supplies |
923 |
625 |
$0.00 |