| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0398 |
Als routine disposable supplies |
1,579 |
1,384 |
$279K |
| A0425 |
Ground mileage, per statute mile |
5,230 |
3,973 |
$246K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,861 |
2,462 |
$191K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,581 |
1,431 |
$85K |
| A0382 |
Bls routine disposable supplies |
28 |
26 |
$4K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
252 |
216 |
$2K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
69 |
38 |
$427.01 |