| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
11,932 |
8,576 |
$483K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
7,371 |
5,935 |
$359K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,025 |
2,580 |
$221K |
| A0382 |
Bls routine disposable supplies |
1,112 |
917 |
$134K |
| A0398 |
Als routine disposable supplies |
674 |
555 |
$103K |
| T2005 |
Non-emergency transportation; stretcher van |
273 |
248 |
$10K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
909 |
707 |
$6K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
245 |
195 |
$562.09 |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
55 |
46 |
$59.81 |