| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
15,139 |
9,671 |
$451K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,831 |
5,032 |
$357K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,874 |
4,394 |
$222K |
| T2005 |
Non-emergency transportation; stretcher van |
960 |
761 |
$25K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
708 |
586 |
$3K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
320 |
267 |
$1K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
973 |
899 |
$4.00 |