| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
18,242 |
14,000 |
$2.04M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
9,523 |
7,984 |
$1.32M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
3,132 |
2,749 |
$529K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,883 |
2,440 |
$351K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,432 |
2,028 |
$254K |
| A0398 |
Als routine disposable supplies |
964 |
810 |
$9K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
218 |
190 |
$3K |
| A0382 |
Bls routine disposable supplies |
289 |
261 |
$3K |