| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0398 |
Als routine disposable supplies |
4,719 |
3,961 |
$818K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
9,113 |
7,394 |
$604K |
| A0425 |
Ground mileage, per statute mile |
13,275 |
9,583 |
$434K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,204 |
1,953 |
$122K |
| A0382 |
Bls routine disposable supplies |
54 |
51 |
$8K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
800 |
627 |
$6K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,090 |
854 |
$3K |