| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,031 |
905 |
$185K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
971 |
861 |
$89K |
| A0390 |
Als mileage (per mile) |
506 |
442 |
$10K |
| A0380 |
Bls mileage (per mile) |
199 |
172 |
$3K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
12 |
12 |
$563.30 |
| A0425 |
Ground mileage, per statute mile |
665 |
581 |
$479.23 |
| A0382 |
Bls routine disposable supplies |
67 |
56 |
$366.69 |
| A0398 |
Als routine disposable supplies |
12 |
12 |
$174.50 |