| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,790 |
2,349 |
$310K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,338 |
1,155 |
$122K |
| A0390 |
Als mileage (per mile) |
1,441 |
1,195 |
$83K |
| A0380 |
Bls mileage (per mile) |
297 |
223 |
$11K |
| A0425 |
Ground mileage, per statute mile |
2,550 |
1,977 |
$8K |
| A0398 |
Als routine disposable supplies |
32 |
24 |
$275.24 |
| A0382 |
Bls routine disposable supplies |
13 |
12 |
$26.67 |