| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
17,543 |
12,763 |
$631K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,160 |
6,762 |
$523K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
6,875 |
5,864 |
$393K |
| A0398 |
Als routine disposable supplies |
1,738 |
1,511 |
$40K |
| A0382 |
Bls routine disposable supplies |
1,959 |
1,707 |
$17K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,504 |
1,255 |
$14K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,228 |
967 |
$9K |
| T2005 |
Non-emergency transportation; stretcher van |
125 |
102 |
$5K |