| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
432 |
418 |
$62K |
| A0425 |
Ground mileage, per statute mile |
1,630 |
1,516 |
$51K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
241 |
238 |
$29K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
636 |
573 |
$10K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
49 |
44 |
$253.08 |
| A0382 |
Bls routine disposable supplies |
205 |
199 |
$48.66 |
| A0398 |
Als routine disposable supplies |
351 |
337 |
$7.00 |