| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
7,679 |
5,595 |
$280K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,677 |
3,023 |
$232K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,930 |
1,757 |
$96K |
| A0398 |
Als routine disposable supplies |
167 |
151 |
$3K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
424 |
290 |
$3K |
| A0382 |
Bls routine disposable supplies |
272 |
254 |
$2K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
220 |
190 |
$2K |
| T2005 |
Non-emergency transportation; stretcher van |
39 |
37 |
$2K |