| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
33,024 |
20,797 |
$1.59M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
9,421 |
7,702 |
$721K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
7,319 |
6,363 |
$624K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
14,174 |
7,400 |
$611K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,662 |
1,422 |
$159K |
| A0382 |
Bls routine disposable supplies |
8,987 |
6,255 |
$158K |
| A0434 |
Specialty care transport (sct) |
124 |
97 |
$16K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
173 |
140 |
$2K |
| A0398 |
Als routine disposable supplies |
15 |
15 |
$0.00 |