| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
22,673 |
9,313 |
$1.19M |
| A0425 |
Ground mileage, per statute mile |
27,484 |
12,256 |
$915K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,541 |
2,258 |
$284K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
205 |
200 |
$23K |
| A0382 |
Bls routine disposable supplies |
1,757 |
1,192 |
$16K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
27 |
13 |
$3K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
265 |
183 |
$1K |
| A0398 |
Als routine disposable supplies |
16 |
15 |
$236.45 |