| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
82,518 |
68,329 |
$23.55M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
62,906 |
51,488 |
$9.78M |
| A0425 |
Ground mileage, per statute mile |
149,748 |
114,969 |
$5.05M |
| A0433 |
Advanced life support, level 2 (als 2) |
2,621 |
2,388 |
$749K |
| A0398 |
Als routine disposable supplies |
44,551 |
37,547 |
$617K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
6,146 |
5,379 |
$350K |
| A0382 |
Bls routine disposable supplies |
35,311 |
29,615 |
$297K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
55 |
45 |
$331.92 |
| 0011A |
|
54 |
51 |
$0.00 |
| 91301 |
|
124 |
117 |
$0.00 |
| 0012A |
|
58 |
55 |
$0.00 |
| 91303 |
|
38 |
36 |
$0.00 |
| 0031A |
|
38 |
36 |
$0.00 |
| G2022 |
A model participant (ambulance supplier/provider), the beneficiary refuses services covered under the model (transport to an alternate destination/treatment in place) |
147 |
58 |
$0.00 |
| A0998 |
Ambulance response and treatment, no transport |
192 |
175 |
$0.00 |