| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
18,532 |
14,681 |
$1.67M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
9,300 |
8,018 |
$1.64M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,773 |
5,086 |
$834K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,946 |
1,752 |
$352K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,229 |
1,003 |
$143K |
| A0398 |
Als routine disposable supplies |
7,904 |
3,979 |
$85K |
| A0382 |
Bls routine disposable supplies |
5,860 |
4,434 |
$65K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,183 |
953 |
$26K |
| 93041 |
|
2,958 |
2,555 |
$17K |