| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0430 |
Ambulance service, conventional air services, transport, one way (fixed wing) |
630 |
587 |
$821K |
| A0435 |
Fixed wing air mileage, per statute mile |
630 |
587 |
$808K |
| A0436 |
Rotary wing air mileage, per statute mile |
183 |
171 |
$356K |
| A0431 |
Ambulance service, conventional air services, transport, one way (rotary wing) |
183 |
171 |
$229K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
129 |
119 |
$18K |
| A0425 |
Ground mileage, per statute mile |
356 |
315 |
$12K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
31 |
28 |
$5K |