| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
6,190 |
4,135 |
$242K |
| A0398 |
Als routine disposable supplies |
1,620 |
1,306 |
$216K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,998 |
3,077 |
$199K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
798 |
597 |
$25K |
| A0382 |
Bls routine disposable supplies |
107 |
81 |
$12K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
63 |
40 |
$79.59 |