| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0398 |
Als routine disposable supplies |
2,879 |
2,454 |
$498K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,452 |
5,281 |
$410K |
| A0425 |
Ground mileage, per statute mile |
11,978 |
8,435 |
$226K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,796 |
2,423 |
$151K |
| A0382 |
Bls routine disposable supplies |
200 |
167 |
$25K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,923 |
1,375 |
$8K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
414 |
355 |
$3K |