| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
14,358 |
9,588 |
$930K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
7,098 |
6,007 |
$736K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
4,942 |
2,351 |
$321K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,982 |
1,741 |
$151K |
| A0382 |
Bls routine disposable supplies |
3,338 |
1,997 |
$71K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
407 |
352 |
$5K |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
164 |
139 |
$0.00 |
| A0398 |
Als routine disposable supplies |
34 |
32 |
$0.00 |