| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,059 |
1,713 |
$1.74M |
| A0425 |
Ground mileage, per statute mile |
3,046 |
2,461 |
$65K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
104 |
80 |
$9K |
| A0398 |
Als routine disposable supplies |
3,021 |
2,444 |
$2K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
538 |
459 |
$1K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
616 |
557 |
$294.95 |