| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
9,436 |
6,720 |
$2.01M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,981 |
3,954 |
$1.96M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,097 |
3,264 |
$1.42M |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
1,646 |
1,418 |
$61K |
| A0390 |
Als mileage (per mile) |
80 |
75 |
$14K |
| A0380 |
Bls mileage (per mile) |
94 |
85 |
$13K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
51 |
48 |
$8K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
16 |
13 |
$327.18 |