| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
13,901 |
10,254 |
$721K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,767 |
4,936 |
$620K |
| A0425 |
Ground mileage, per statute mile |
23,389 |
17,625 |
$262K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,338 |
2,000 |
$242K |
| 93000 |
|
714 |
630 |
$13K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
78 |
73 |
$6K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
74 |
61 |
$6K |