| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,877 |
1,732 |
$248K |
| A0425 |
Ground mileage, per statute mile |
5,062 |
3,882 |
$213K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,762 |
1,577 |
$92K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
800 |
729 |
$74K |
| A0398 |
Als routine disposable supplies |
20 |
17 |
$18.88 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
18 |
17 |
$14.52 |