| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
2,102 |
1,741 |
$182K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
611 |
548 |
$87K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
67 |
62 |
$9K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
41 |
39 |
$4K |
| A0382 |
Bls routine disposable supplies |
158 |
144 |
$0.00 |
| 93041 |
|
26 |
26 |
$0.00 |
| A0398 |
Als routine disposable supplies |
264 |
239 |
$0.00 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
58 |
54 |
$0.00 |