| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
413 |
349 |
$69K |
| A0425 |
Ground mileage, per statute mile |
546 |
478 |
$21K |
| A0382 |
Bls routine disposable supplies |
214 |
187 |
$19K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
79 |
71 |
$15K |
| A0398 |
Als routine disposable supplies |
44 |
40 |
$4K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
44 |
40 |
$3K |
| A0390 |
Als mileage (per mile) |
27 |
27 |
$1K |
| A0380 |
Bls mileage (per mile) |
25 |
24 |
$1K |