| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,892 |
3,708 |
$286K |
| A0425 |
Ground mileage, per statute mile |
8,678 |
5,577 |
$234K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,244 |
1,784 |
$90K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
696 |
559 |
$5K |
| T2005 |
Non-emergency transportation; stretcher van |
56 |
44 |
$1K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
17 |
12 |
$114.14 |