| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,100 |
2,860 |
$2.75M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,972 |
1,806 |
$1.52M |
| A0425 |
Ground mileage, per statute mile |
2,844 |
2,466 |
$739K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
126 |
119 |
$46K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
29 |
29 |
$14K |
| A0398 |
Als routine disposable supplies |
1,058 |
966 |
$5K |
| A0382 |
Bls routine disposable supplies |
1,138 |
1,050 |
$1K |