| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,708 |
2,423 |
$466K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,260 |
1,897 |
$375K |
| A0425 |
Ground mileage, per statute mile |
5,558 |
4,699 |
$136K |
| A0382 |
Bls routine disposable supplies |
1,239 |
1,031 |
$21K |
| A0398 |
Als routine disposable supplies |
1,246 |
1,110 |
$20K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
86 |
77 |
$1K |