| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
9,042 |
5,332 |
$627K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,604 |
3,027 |
$354K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,675 |
922 |
$219K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,359 |
1,199 |
$129K |
| A0382 |
Bls routine disposable supplies |
2,213 |
1,053 |
$51K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
303 |
241 |
$4K |