| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
5,245 |
3,267 |
$159K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,348 |
1,161 |
$91K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,397 |
1,256 |
$59K |
| A0398 |
Als routine disposable supplies |
279 |
232 |
$43K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
543 |
200 |
$13K |
| A0382 |
Bls routine disposable supplies |
121 |
106 |
$7K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
71 |
63 |
$585.00 |