| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,384 |
2,922 |
$443K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,340 |
1,134 |
$170K |
| A0425 |
Ground mileage, per statute mile |
5,141 |
4,283 |
$61K |
| A0398 |
Als routine disposable supplies |
2,837 |
2,431 |
$21K |
| A0382 |
Bls routine disposable supplies |
1,215 |
1,025 |
$11K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
769 |
643 |
$2K |