| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
5,834 |
3,772 |
$443K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,412 |
1,824 |
$336K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
738 |
628 |
$109K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
655 |
541 |
$62K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
675 |
476 |
$62K |
| A0398 |
Als routine disposable supplies |
24 |
13 |
$138.21 |
| 93041 |
|
17 |
12 |
$59.40 |