| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,718 |
1,531 |
$248K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
815 |
759 |
$143K |
| A0425 |
Ground mileage, per statute mile |
3,030 |
2,627 |
$90K |
| A0382 |
Bls routine disposable supplies |
610 |
559 |
$11K |
| A0398 |
Als routine disposable supplies |
166 |
158 |
$3K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
14 |
13 |
$194.70 |