| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
13,232 |
8,765 |
$694K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,640 |
5,341 |
$538K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,632 |
3,209 |
$244K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,342 |
1,024 |
$27K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
865 |
700 |
$12K |
| A0398 |
Als routine disposable supplies |
541 |
475 |
$6K |
| A0382 |
Bls routine disposable supplies |
939 |
803 |
$858.93 |