| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,198 |
2,647 |
$1.99M |
| A0425 |
Ground mileage, per statute mile |
4,301 |
3,034 |
$14K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
77 |
67 |
$4K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
33 |
28 |
$78.88 |
| A0398 |
Als routine disposable supplies |
134 |
57 |
$56.72 |
| A0382 |
Bls routine disposable supplies |
858 |
100 |
$0.00 |