| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,122 |
3,601 |
$2.98M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
830 |
698 |
$84K |
| A0425 |
Ground mileage, per statute mile |
4,958 |
4,198 |
$25K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
81 |
70 |
$7K |
| A0382 |
Bls routine disposable supplies |
1,530 |
1,238 |
$2K |
| A0999 |
Unlisted ambulance service |
791 |
738 |
$74.10 |
| A0398 |
Als routine disposable supplies |
844 |
737 |
$45.94 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
53 |
49 |
$23.66 |