| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
13,692 |
10,491 |
$838K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
7,387 |
6,278 |
$471K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,087 |
4,336 |
$260K |
| A0398 |
Als routine disposable supplies |
4,147 |
3,627 |
$65K |
| A0382 |
Bls routine disposable supplies |
3,031 |
2,669 |
$7K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
640 |
569 |
$6K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
49 |
40 |
$362.90 |