| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0398 |
Als routine disposable supplies |
1,256 |
1,125 |
$230K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,947 |
2,471 |
$193K |
| A0425 |
Ground mileage, per statute mile |
5,321 |
3,891 |
$83K |
| A0382 |
Bls routine disposable supplies |
387 |
339 |
$51K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
968 |
863 |
$48K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
653 |
533 |
$2K |