| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
15,013 |
6,593 |
$2.40M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,199 |
4,587 |
$1.24M |
| A0425 |
Ground mileage, per statute mile |
27,885 |
17,035 |
$1.21M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
7,001 |
5,871 |
$1.07M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
414 |
324 |
$110K |
| A0398 |
Als routine disposable supplies |
128 |
125 |
$0.00 |