| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,173 |
1,788 |
$335K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,537 |
1,271 |
$182K |
| A0390 |
Als mileage (per mile) |
1,127 |
957 |
$46K |
| A0380 |
Bls mileage (per mile) |
716 |
581 |
$25K |
| A0398 |
Als routine disposable supplies |
1,530 |
766 |
$16K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
195 |
174 |
$4K |
| A0425 |
Ground mileage, per statute mile |
1,204 |
941 |
$2K |