| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
9,259 |
6,799 |
$362K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,975 |
4,241 |
$355K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,746 |
2,444 |
$139K |
| A0398 |
Als routine disposable supplies |
1,028 |
907 |
$56K |
| A0382 |
Bls routine disposable supplies |
152 |
137 |
$2K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
451 |
309 |
$2K |