| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
10,596 |
8,603 |
$1.38M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,004 |
3,296 |
$434K |
| A0390 |
Als mileage (per mile) |
6,250 |
4,966 |
$119K |
| A0380 |
Bls mileage (per mile) |
2,368 |
1,865 |
$36K |
| A0425 |
Ground mileage, per statute mile |
6,351 |
5,245 |
$7K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
308 |
240 |
$5K |
| A0398 |
Als routine disposable supplies |
493 |
372 |
$3K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
27 |
17 |
$1K |
| A0382 |
Bls routine disposable supplies |
101 |
89 |
$380.85 |