| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0398 |
Als routine disposable supplies |
909 |
851 |
$155K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,642 |
1,530 |
$136K |
| A0425 |
Ground mileage, per statute mile |
2,764 |
2,536 |
$64K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,058 |
953 |
$63K |
| A0382 |
Bls routine disposable supplies |
242 |
235 |
$33K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
150 |
138 |
$1K |