| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,602 |
2,345 |
$499K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,297 |
1,187 |
$234K |
| A0425 |
Ground mileage, per statute mile |
4,367 |
3,726 |
$65K |
| A0398 |
Als routine disposable supplies |
1,558 |
1,398 |
$26K |
| A0382 |
Bls routine disposable supplies |
855 |
795 |
$15K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
30 |
28 |
$399.45 |