| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,395 |
3,711 |
$904K |
| A0390 |
Als mileage (per mile) |
3,751 |
3,120 |
$592K |
| A0382 |
Bls routine disposable supplies |
7,526 |
5,468 |
$75K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
1,907 |
1,623 |
$48K |
| A0434 |
Specialty care transport (sct) |
135 |
122 |
$42K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,003 |
766 |
$16K |
| A0998 |
Ambulance response and treatment, no transport |
209 |
177 |
$13K |
| A0425 |
Ground mileage, per statute mile |
1,525 |
1,095 |
$7K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
16 |
15 |
$3K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
13 |
12 |
$732.53 |