| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,186 |
1,030 |
$262K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
589 |
530 |
$122K |
| A0425 |
Ground mileage, per statute mile |
1,882 |
1,603 |
$77K |
| A0382 |
Bls routine disposable supplies |
1,285 |
1,067 |
$14K |
| A0398 |
Als routine disposable supplies |
390 |
296 |
$6K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
15 |
12 |
$209.79 |