| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
10,796 |
7,564 |
$370K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,429 |
4,483 |
$338K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,794 |
3,170 |
$189K |
| A0398 |
Als routine disposable supplies |
2,722 |
2,334 |
$49K |
| A0382 |
Bls routine disposable supplies |
1,830 |
1,593 |
$8K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
685 |
587 |
$6K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
354 |
238 |
$3K |