| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
5,412 |
3,413 |
$118K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,940 |
1,611 |
$96K |
| A0398 |
Als routine disposable supplies |
208 |
185 |
$35K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
466 |
405 |
$16K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,696 |
975 |
$7K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
17 |
13 |
$55.00 |