| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
61,342 |
50,687 |
$10.83M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
64,677 |
50,215 |
$10.29M |
| A0425 |
Ground mileage, per statute mile |
148,371 |
105,715 |
$3.30M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
17,428 |
12,906 |
$1.05M |
| A0382 |
Bls routine disposable supplies |
48,585 |
35,721 |
$680K |
| A0433 |
Advanced life support, level 2 (als 2) |
2,060 |
1,917 |
$553K |
| A0398 |
Als routine disposable supplies |
33,582 |
27,275 |
$517K |
| A0434 |
Specialty care transport (sct) |
335 |
237 |
$103K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
8,778 |
7,376 |
$102K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,673 |
1,429 |
$100K |
| A0998 |
Ambulance response and treatment, no transport |
1,105 |
921 |
$300.00 |
| G2022 |
A model participant (ambulance supplier/provider), the beneficiary refuses services covered under the model (transport to an alternate destination/treatment in place) |
861 |
732 |
$0.01 |