| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
9,990 |
6,038 |
$272K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,263 |
2,103 |
$263K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
6,188 |
3,721 |
$261K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
979 |
924 |
$112K |
| A0398 |
Als routine disposable supplies |
1,412 |
1,038 |
$15K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
13 |
12 |
$165.97 |