| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
7,125 |
5,836 |
$1.74M |
| A0425 |
Ground mileage, per statute mile |
14,359 |
10,638 |
$1.25M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,910 |
3,156 |
$970K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,025 |
1,566 |
$203K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
658 |
547 |
$114K |
| A0434 |
Specialty care transport (sct) |
137 |
99 |
$36K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,155 |
921 |
$13K |
| A0398 |
Als routine disposable supplies |
16 |
16 |
$567.00 |