| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
10,196 |
2,899 |
$912K |
| A0425 |
Ground mileage, per statute mile |
12,730 |
4,757 |
$605K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,416 |
1,345 |
$256K |
| A0382 |
Bls routine disposable supplies |
4,444 |
2,245 |
$71K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
17 |
16 |
$3K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
169 |
110 |
$1K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
24 |
12 |
$248.55 |