| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,855 |
1,669 |
$342K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,383 |
1,267 |
$223K |
| A0425 |
Ground mileage, per statute mile |
3,913 |
3,200 |
$154K |
| A0382 |
Bls routine disposable supplies |
936 |
833 |
$15K |
| A0398 |
Als routine disposable supplies |
826 |
738 |
$14K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
61 |
49 |
$825.48 |