| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,221 |
1,845 |
$123K |
| A0425 |
Ground mileage, per statute mile |
5,054 |
3,291 |
$118K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,309 |
1,034 |
$45K |
| A0398 |
Als routine disposable supplies |
127 |
120 |
$25K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
228 |
195 |
$2K |
| T2005 |
Non-emergency transportation; stretcher van |
37 |
27 |
$220.00 |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
139 |
63 |
$84.08 |