| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,338 |
4,576 |
$3.67M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
382 |
330 |
$39K |
| A0425 |
Ground mileage, per statute mile |
6,368 |
5,366 |
$31K |
| A0999 |
Unlisted ambulance service |
2,104 |
1,929 |
$2K |
| A0398 |
Als routine disposable supplies |
5,100 |
3,513 |
$50.75 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
17 |
16 |
$0.00 |