| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
4,412 |
3,716 |
$671K |
| A0425 |
Ground mileage, per statute mile |
10,287 |
8,706 |
$653K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,751 |
2,567 |
$627K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,565 |
2,294 |
$384K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
74 |
73 |
$14K |
| A0998 |
Ambulance response and treatment, no transport |
25 |
25 |
$5K |