| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
28,788 |
25,206 |
$3.13M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
11,774 |
10,535 |
$2.76M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
14,131 |
13,291 |
$1.48M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,292 |
2,270 |
$387K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,636 |
1,604 |
$385K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,243 |
1,174 |
$16K |
| A0433 |
Advanced life support, level 2 (als 2) |
12 |
12 |
$5K |
| A0434 |
Specialty care transport (sct) |
13 |
12 |
$2K |