| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,123 |
4,282 |
$323K |
| A0425 |
Ground mileage, per statute mile |
8,556 |
6,137 |
$316K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,600 |
1,450 |
$85K |
| A0398 |
Als routine disposable supplies |
1,829 |
1,593 |
$54K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
199 |
168 |
$2K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
617 |
457 |
$1K |