| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,518 |
5,084 |
$1.15M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
14,218 |
11,034 |
$948K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,759 |
4,374 |
$827K |
| A0425 |
Ground mileage, per statute mile |
23,169 |
18,020 |
$665K |
| A0398 |
Als routine disposable supplies |
2,010 |
1,870 |
$35K |
| A0382 |
Bls routine disposable supplies |
3,200 |
2,409 |
$23K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,083 |
710 |
$11K |