| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
11,772 |
5,819 |
$338K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,926 |
2,500 |
$230K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
5,618 |
1,923 |
$199K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,619 |
2,208 |
$175K |
| A0382 |
Bls routine disposable supplies |
2,592 |
1,641 |
$47K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
20 |
13 |
$739.00 |