| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
14,633 |
3,937 |
$643K |
| A0425 |
Ground mileage, per statute mile |
24,045 |
10,404 |
$445K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,874 |
4,140 |
$422K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,110 |
2,661 |
$174K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,155 |
1,050 |
$128K |
| A0382 |
Bls routine disposable supplies |
5,985 |
3,032 |
$116K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
63 |
51 |
$705.00 |