| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
15,723 |
12,494 |
$2.09M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
6,754 |
6,168 |
$838K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
15,135 |
9,970 |
$437K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
4,627 |
3,305 |
$221K |
| A0425 |
Ground mileage, per statute mile |
37,132 |
26,530 |
$163K |
| A0434 |
Specialty care transport (sct) |
252 |
202 |
$44K |
| A0382 |
Bls routine disposable supplies |
4,878 |
4,263 |
$1K |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
94 |
79 |
$278.10 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
85 |
70 |
$5.89 |