| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0999 |
Unlisted ambulance service |
3,816 |
3,121 |
$3.96M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,351 |
5,356 |
$465K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,444 |
2,015 |
$148K |
| A0425 |
Ground mileage, per statute mile |
8,953 |
7,177 |
$39K |
| A0398 |
Als routine disposable supplies |
2,174 |
1,914 |
$11K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
15 |
14 |
$197.75 |