| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
11,618 |
9,101 |
$2.60M |
| A0425 |
Ground mileage, per statute mile |
26,230 |
16,578 |
$2.14M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
7,403 |
6,014 |
$2.06M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
5,711 |
3,966 |
$614K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
972 |
828 |
$145K |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
125 |
114 |
$34K |
| A0998 |
Ambulance response and treatment, no transport |
577 |
539 |
$17K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
221 |
186 |
$4K |