| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
14,060 |
9,450 |
$617K |
| A0398 |
Als routine disposable supplies |
3,354 |
2,897 |
$594K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,733 |
6,785 |
$519K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,510 |
2,835 |
$156K |
| A0382 |
Bls routine disposable supplies |
592 |
511 |
$77K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
717 |
576 |
$6K |