| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
6,085 |
4,586 |
$342K |
| A0398 |
Als routine disposable supplies |
1,603 |
1,462 |
$282K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,215 |
2,799 |
$236K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,562 |
1,424 |
$85K |
| A0382 |
Bls routine disposable supplies |
40 |
37 |
$5K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
147 |
122 |
$1K |