| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0398 |
Als routine disposable supplies |
2,083 |
1,798 |
$362K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,551 |
3,736 |
$329K |
| A0425 |
Ground mileage, per statute mile |
6,201 |
4,850 |
$278K |
| A0382 |
Bls routine disposable supplies |
376 |
322 |
$45K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
727 |
654 |
$45K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
133 |
105 |
$1K |