| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
10,310 |
8,087 |
$997K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,514 |
4,761 |
$970K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,992 |
1,892 |
$377K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,719 |
1,357 |
$81K |
| A0398 |
Als routine disposable supplies |
2,323 |
2,079 |
$39K |
| A0382 |
Bls routine disposable supplies |
1,515 |
1,459 |
$25K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
443 |
413 |
$6K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
29 |
27 |
$2K |