| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,635 |
3,119 |
$245K |
| A0398 |
Als routine disposable supplies |
1,033 |
918 |
$184K |
| A0425 |
Ground mileage, per statute mile |
5,351 |
4,097 |
$163K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
617 |
555 |
$37K |
| A0382 |
Bls routine disposable supplies |
54 |
48 |
$7K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
91 |
82 |
$760.50 |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
70 |
51 |
$43.49 |