| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
7,187 |
6,033 |
$1.84M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
6,222 |
5,048 |
$1.40M |
| A0425 |
Ground mileage, per statute mile |
17,441 |
12,112 |
$809K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
3,734 |
2,036 |
$210K |
| A0434 |
Specialty care transport (sct) |
185 |
165 |
$49K |
| A0433 |
Advanced life support, level 2 (als 2) |
52 |
44 |
$14K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
184 |
157 |
$7K |
| A0398 |
Als routine disposable supplies |
247 |
196 |
$6K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
13 |
12 |
$265.16 |