| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,541 |
3,926 |
$771K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,932 |
2,476 |
$450K |
| A0425 |
Ground mileage, per statute mile |
8,516 |
6,945 |
$125K |
| A0398 |
Als routine disposable supplies |
2,323 |
1,954 |
$36K |
| A0382 |
Bls routine disposable supplies |
1,909 |
1,585 |
$29K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
48 |
41 |
$617.13 |