| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,146 |
1,021 |
$188K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
494 |
431 |
$74K |
| A0425 |
Ground mileage, per statute mile |
2,092 |
1,781 |
$52K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
702 |
586 |
$8K |
| A0382 |
Bls routine disposable supplies |
383 |
322 |
$5K |
| A0398 |
Als routine disposable supplies |
275 |
233 |
$4K |