| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
10,751 |
5,631 |
$564K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,041 |
2,539 |
$394K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
6,064 |
2,953 |
$259K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,196 |
1,065 |
$144K |
| A0382 |
Bls routine disposable supplies |
2,060 |
1,070 |
$12K |
| A0398 |
Als routine disposable supplies |
830 |
708 |
$10K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
32 |
24 |
$233.49 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
13 |
12 |
$0.00 |
| 93041 |
|
13 |
12 |
$0.00 |