| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
13,292 |
10,776 |
$3.04M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
9,000 |
7,674 |
$2.30M |
| A0425 |
Ground mileage, per statute mile |
33,122 |
20,181 |
$2.24M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
10,118 |
2,251 |
$1.01M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
209 |
198 |
$44K |
| A0998 |
Ambulance response and treatment, no transport |
333 |
219 |
$14K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
480 |
129 |
$3K |
| S0215 |
Non-emergency transportation; mileage, per mile |
49 |
18 |
$224.40 |