| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
18,906 |
14,378 |
$1.62M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
9,909 |
8,435 |
$1.50M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,995 |
3,377 |
$465K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,154 |
1,904 |
$380K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,767 |
2,372 |
$312K |
| A0398 |
Als routine disposable supplies |
7,714 |
6,186 |
$51K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
2,426 |
1,813 |
$19K |