| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,191 |
3,462 |
$2.12M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,776 |
2,080 |
$1.38M |
| A0425 |
Ground mileage, per statute mile |
7,197 |
5,356 |
$142K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
66 |
64 |
$978.00 |
| A0382 |
Bls routine disposable supplies |
155 |
104 |
$75.25 |
| A0398 |
Als routine disposable supplies |
237 |
135 |
$0.00 |