| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,326 |
3,786 |
$638K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,910 |
3,290 |
$497K |
| A0425 |
Ground mileage, per statute mile |
10,176 |
7,416 |
$256K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
896 |
642 |
$43K |
| A0398 |
Als routine disposable supplies |
1,125 |
1,008 |
$18K |
| A0382 |
Bls routine disposable supplies |
918 |
766 |
$15K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
177 |
132 |
$2K |