| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
2,347 |
1,785 |
$96K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,435 |
1,273 |
$87K |
| A0398 |
Als routine disposable supplies |
917 |
827 |
$32K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
351 |
295 |
$16K |
| A0382 |
Bls routine disposable supplies |
130 |
107 |
$2K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
260 |
160 |
$1K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
153 |
142 |
$1K |