| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
31,179 |
4,383 |
$3.44M |
| A0425 |
Ground mileage, per statute mile |
34,873 |
7,447 |
$1.12M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,362 |
2,121 |
$319K |
| A0382 |
Bls routine disposable supplies |
20,353 |
5,264 |
$318K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
827 |
804 |
$131K |
| A0398 |
Als routine disposable supplies |
447 |
435 |
$6K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
108 |
107 |
$1K |
| A0999 |
Unlisted ambulance service |
15 |
12 |
$13.78 |