| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
15,384 |
8,297 |
$521K |
| A0425 |
Ground mileage, per statute mile |
20,213 |
12,079 |
$419K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,958 |
2,664 |
$212K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
363 |
339 |
$35K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
31 |
27 |
$1K |
| A0382 |
Bls routine disposable supplies |
8,862 |
6,190 |
$1K |
| A0398 |
Als routine disposable supplies |
232 |
218 |
$110.28 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,159 |
841 |
$28.02 |