| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
9,754 |
7,319 |
$1.01M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,461 |
3,042 |
$833K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,807 |
3,177 |
$777K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,686 |
1,404 |
$195K |
| A0998 |
Ambulance response and treatment, no transport |
304 |
261 |
$51K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
216 |
199 |
$50K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
329 |
316 |
$11K |
| A0999 |
Unlisted ambulance service |
44 |
27 |
$6K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
29 |
26 |
$520.02 |