| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,545 |
2,987 |
$2.68M |
| A0425 |
Ground mileage, per statute mile |
4,343 |
3,622 |
$41K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
189 |
171 |
$20K |
| A0398 |
Als routine disposable supplies |
3,720 |
2,320 |
$3K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
20 |
17 |
$421.04 |
| A0382 |
Bls routine disposable supplies |
3,190 |
2,492 |
$20.20 |
| A0999 |
Unlisted ambulance service |
1,839 |
1,595 |
$0.00 |