| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
11,472 |
4,373 |
$425K |
| A0425 |
Ground mileage, per statute mile |
14,041 |
5,980 |
$221K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
960 |
839 |
$114K |
| A0434 |
Specialty care transport (sct) |
42 |
42 |
$12K |
| A0382 |
Bls routine disposable supplies |
1,681 |
1,132 |
$11K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
36 |
31 |
$5K |
| A0398 |
Als routine disposable supplies |
27 |
27 |
$222.44 |