| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
5,004 |
4,294 |
$469K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,731 |
1,570 |
$293K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,806 |
1,625 |
$260K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
185 |
162 |
$33K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
256 |
213 |
$32K |
| A0382 |
Bls routine disposable supplies |
1,743 |
1,357 |
$18K |
| A0398 |
Als routine disposable supplies |
1,227 |
595 |
$13K |
| 93041 |
|
106 |
93 |
$600.60 |