| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
30,786 |
18,469 |
$2.58M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
11,886 |
9,723 |
$2.25M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
8,906 |
7,384 |
$897K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
9,983 |
3,327 |
$608K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
4,334 |
3,598 |
$113K |
| A0398 |
Als routine disposable supplies |
6,392 |
5,115 |
$110K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,814 |
1,420 |
$96K |
| A0382 |
Bls routine disposable supplies |
5,081 |
4,125 |
$42K |