| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
8,080 |
4,318 |
$645K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
6,504 |
2,909 |
$287K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
594 |
578 |
$91K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
224 |
221 |
$26K |
| A0382 |
Bls routine disposable supplies |
282 |
242 |
$4K |
| A0398 |
Als routine disposable supplies |
13 |
12 |
$218.67 |