| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,825 |
3,858 |
$1.02M |
| A0425 |
Ground mileage, per statute mile |
5,299 |
4,123 |
$397K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
3,709 |
2,984 |
$112K |
| A0398 |
Als routine disposable supplies |
5,102 |
4,049 |
$51K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
3,486 |
2,925 |
$51K |
| A0382 |
Bls routine disposable supplies |
5,351 |
4,151 |
$31K |