| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
50,790 |
33,695 |
$3.72M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
25,348 |
19,147 |
$3.59M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
15,993 |
11,036 |
$1.36M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
6,625 |
5,206 |
$742K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,589 |
2,120 |
$385K |
| A0398 |
Als routine disposable supplies |
1,749 |
1,580 |
$18K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
862 |
765 |
$13K |