| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
11,354 |
6,438 |
$498K |
| A0425 |
Ground mileage, per statute mile |
13,099 |
7,506 |
$216K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
858 |
746 |
$54K |
| T2005 |
Non-emergency transportation; stretcher van |
71 |
65 |
$3K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
186 |
129 |
$599.86 |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
73 |
66 |
$448.07 |
| A0392 |
Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances) |
68 |
28 |
$0.00 |