| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
21,289 |
6,856 |
$1.14M |
| A0425 |
Ground mileage, per statute mile |
31,692 |
13,701 |
$704K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,528 |
4,767 |
$329K |
| A0382 |
Bls routine disposable supplies |
10,782 |
5,446 |
$233K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,468 |
4,004 |
$217K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
429 |
293 |
$5K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
14 |
13 |
$2K |