| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,281 |
4,479 |
$353K |
| A0425 |
Ground mileage, per statute mile |
9,731 |
7,023 |
$254K |
| A0398 |
Als routine disposable supplies |
1,419 |
1,255 |
$253K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,462 |
2,242 |
$134K |
| A0382 |
Bls routine disposable supplies |
59 |
56 |
$8K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
510 |
419 |
$4K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
941 |
417 |
$2K |