| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
537 |
462 |
$66K |
| A0425 |
Ground mileage, per statute mile |
1,044 |
781 |
$53K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
92 |
67 |
$9K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
75 |
64 |
$6K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
240 |
181 |
$1K |
| 93041 |
|
246 |
194 |
$620.40 |
| A0398 |
Als routine disposable supplies |
113 |
96 |
$463.28 |
| A0382 |
Bls routine disposable supplies |
41 |
31 |
$205.56 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
15 |
14 |
$0.00 |