| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,576 |
2,984 |
$164K |
| A0425 |
Ground mileage, per statute mile |
5,590 |
4,034 |
$104K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
703 |
645 |
$36K |
| A0382 |
Bls routine disposable supplies |
84 |
75 |
$11K |
| A0398 |
Als routine disposable supplies |
46 |
45 |
$9K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
433 |
287 |
$2K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
31 |
26 |
$213.00 |