| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
14,879 |
12,797 |
$405K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,683 |
2,510 |
$378K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
9,626 |
8,565 |
$338K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,579 |
1,447 |
$228K |
| A0398 |
Als routine disposable supplies |
806 |
741 |
$12K |
| A0382 |
Bls routine disposable supplies |
2,346 |
1,979 |
$10K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
324 |
279 |
$2K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
31 |
29 |
$2K |