| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,375 |
1,954 |
$332K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
955 |
774 |
$126K |
| A0425 |
Ground mileage, per statute mile |
3,886 |
3,147 |
$69K |
| A0398 |
Als routine disposable supplies |
1,376 |
1,040 |
$16K |
| A0382 |
Bls routine disposable supplies |
751 |
542 |
$8K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
12 |
12 |
$109.92 |