| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,997 |
2,494 |
$2.70M |
| A0425 |
Ground mileage, per statute mile |
4,332 |
3,374 |
$169K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
883 |
691 |
$103K |
| A0382 |
Bls routine disposable supplies |
2,901 |
2,227 |
$1K |
| A0398 |
Als routine disposable supplies |
3,556 |
2,175 |
$47.29 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
55 |
40 |
$22.16 |
| A0999 |
Unlisted ambulance service |
1,612 |
1,420 |
$0.00 |