| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
119,997 |
78,148 |
$5.87M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
55,430 |
45,681 |
$5.13M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
47,505 |
27,359 |
$2.18M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
12,558 |
10,985 |
$890K |
| A0382 |
Bls routine disposable supplies |
27,712 |
18,578 |
$524K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
3,187 |
2,910 |
$285K |
| A0434 |
Specialty care transport (sct) |
1,535 |
1,356 |
$147K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
6,391 |
5,468 |
$79K |
| A0433 |
Advanced life support, level 2 (als 2) |
743 |
680 |
$65K |
| A0398 |
Als routine disposable supplies |
3,397 |
2,819 |
$289.32 |