| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,354 |
1,852 |
$439K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,800 |
1,454 |
$399K |
| A0425 |
Ground mileage, per statute mile |
5,523 |
3,796 |
$363K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
582 |
459 |
$71K |
| A0434 |
Specialty care transport (sct) |
149 |
135 |
$3K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
14 |
12 |
$315.09 |