| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
6,694 |
5,872 |
$1.10M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,547 |
2,263 |
$486K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,455 |
1,973 |
$372K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
619 |
559 |
$143K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
282 |
259 |
$70K |
| A0434 |
Specialty care transport (sct) |
330 |
316 |
$70K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
868 |
781 |
$9K |
| A0398 |
Als routine disposable supplies |
63 |
58 |
$47.08 |