| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
5,201 |
2,303 |
$177K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
3,235 |
1,263 |
$156K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
730 |
635 |
$90K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
51 |
49 |
$5K |
| A0398 |
Als routine disposable supplies |
29 |
24 |
$399.06 |
| A0382 |
Bls routine disposable supplies |
15 |
12 |
$104.66 |
| 99072 |
|
22 |
13 |
$0.00 |