| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,313 |
4,493 |
$322K |
| A0425 |
Ground mileage, per statute mile |
9,694 |
7,098 |
$277K |
| A0398 |
Als routine disposable supplies |
591 |
526 |
$102K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,207 |
1,887 |
$95K |
| T2005 |
Non-emergency transportation; stretcher van |
40 |
25 |
$2K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
624 |
430 |
$2K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
44 |
38 |
$326.50 |