| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
2,336 |
1,972 |
$334K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,185 |
1,086 |
$180K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
303 |
290 |
$41K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
193 |
164 |
$21K |
| A0398 |
Als routine disposable supplies |
111 |
102 |
$1K |
| A0382 |
Bls routine disposable supplies |
48 |
45 |
$467.89 |