| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
21,211 |
3,104 |
$1.64M |
| A0425 |
Ground mileage, per statute mile |
26,249 |
7,111 |
$1.40M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,947 |
2,522 |
$557K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,483 |
1,298 |
$218K |
| A0382 |
Bls routine disposable supplies |
20,113 |
5,273 |
$146K |
| A0434 |
Specialty care transport (sct) |
348 |
311 |
$100K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
2,829 |
1,804 |
$29K |
| A0398 |
Als routine disposable supplies |
1,981 |
1,699 |
$24K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
923 |
476 |
$5K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
24 |
15 |
$235.20 |
| 93041 |
|
120 |
111 |
$73.60 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
1,007 |
875 |
$0.00 |
| A0998 |
Ambulance response and treatment, no transport |
31 |
31 |
$0.00 |