| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,764 |
3,402 |
$479K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,206 |
2,967 |
$460K |
| A0425 |
Ground mileage, per statute mile |
7,294 |
6,450 |
$113K |
| A0382 |
Bls routine disposable supplies |
406 |
364 |
$3K |
| A0398 |
Als routine disposable supplies |
819 |
450 |
$2K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
24 |
24 |
$287.37 |
| A0999 |
Unlisted ambulance service |
129 |
119 |
$90.94 |