| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
14,895 |
9,542 |
$628K |
| A0398 |
Als routine disposable supplies |
3,425 |
2,925 |
$615K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
7,720 |
6,427 |
$557K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,879 |
2,527 |
$164K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
3,312 |
1,240 |
$44K |
| A0382 |
Bls routine disposable supplies |
199 |
185 |
$27K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,604 |
1,337 |
$14K |
| T2005 |
Non-emergency transportation; stretcher van |
68 |
55 |
$3K |