| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0398 |
Als routine disposable supplies |
3,432 |
2,761 |
$848K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,568 |
3,633 |
$807K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,098 |
2,572 |
$660K |
| A0382 |
Bls routine disposable supplies |
4,114 |
3,264 |
$520K |
| A0380 |
Bls mileage (per mile) |
4,076 |
3,231 |
$381K |
| A0390 |
Als mileage (per mile) |
3,236 |
2,630 |
$375K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
1,442 |
1,265 |
$347K |
| A0425 |
Ground mileage, per statute mile |
482 |
363 |
$23K |
| A0434 |
Specialty care transport (sct) |
18 |
13 |
$6K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
484 |
404 |
$5K |