| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
9,147 |
7,013 |
$470K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,845 |
4,957 |
$392K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,834 |
1,653 |
$82K |
| A0398 |
Als routine disposable supplies |
768 |
657 |
$23K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
68 |
60 |
$612.00 |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
43 |
38 |
$98.49 |
| A0382 |
Bls routine disposable supplies |
28 |
27 |
$97.01 |