| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,116 |
1,866 |
$394K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,194 |
1,924 |
$348K |
| A0425 |
Ground mileage, per statute mile |
4,535 |
3,782 |
$82K |
| A0382 |
Bls routine disposable supplies |
1,151 |
1,016 |
$20K |
| A0398 |
Als routine disposable supplies |
1,109 |
971 |
$19K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
18 |
13 |
$236.37 |