| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,158 |
1,778 |
$353K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,090 |
1,028 |
$351K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
615 |
571 |
$125K |
| A0425 |
Ground mileage, per statute mile |
2,265 |
1,856 |
$90K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
14 |
14 |
$4K |