| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0999 |
Unlisted ambulance service |
3,529 |
2,902 |
$3.50M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,700 |
3,218 |
$242K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,039 |
2,581 |
$193K |
| A0425 |
Ground mileage, per statute mile |
8,555 |
6,774 |
$177K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
378 |
348 |
$18K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
413 |
368 |
$16K |
| A0398 |
Als routine disposable supplies |
910 |
841 |
$4K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
137 |
121 |
$41.39 |