| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
15,459 |
10,096 |
$3.15M |
| A0425 |
Ground mileage, per statute mile |
17,522 |
11,339 |
$1.16M |
| S0215 |
Non-emergency transportation; mileage, per mile |
7,160 |
3,711 |
$809K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,987 |
3,208 |
$805K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
3,200 |
2,792 |
$97K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
7,437 |
3,726 |
$35K |
| A0390 |
Als mileage (per mile) |
573 |
428 |
$30K |
| A0380 |
Bls mileage (per mile) |
140 |
115 |
$21K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
618 |
536 |
$8K |