| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,059 |
1,860 |
$1.49M |
| A0425 |
Ground mileage, per statute mile |
2,626 |
2,315 |
$73K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
15 |
12 |
$2K |
| A0382 |
Bls routine disposable supplies |
27 |
27 |
$0.00 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
13 |
13 |
$0.00 |
| A0999 |
Unlisted ambulance service |
1,136 |
1,025 |
$0.00 |