| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
13,457 |
9,484 |
$1.23M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,735 |
5,339 |
$1.13M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,358 |
2,730 |
$454K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
886 |
533 |
$22K |
| A0998 |
Ambulance response and treatment, no transport |
208 |
107 |
$9K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
209 |
136 |
$9K |
| A0398 |
Als routine disposable supplies |
851 |
642 |
$97.56 |