| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
25,309 |
19,870 |
$16.57M |
| A0425 |
Ground mileage, per statute mile |
28,551 |
21,519 |
$235K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,057 |
1,727 |
$121K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
671 |
625 |
$57K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
5,179 |
4,325 |
$19K |
| A0382 |
Bls routine disposable supplies |
10,276 |
4,222 |
$14K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
2,347 |
1,729 |
$28.88 |
| A0398 |
Als routine disposable supplies |
2,239 |
1,460 |
$5.98 |