| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,497 |
2,022 |
$1.26M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,129 |
961 |
$801K |
| A0425 |
Ground mileage, per statute mile |
3,508 |
2,471 |
$97K |
| 99199 |
Unlisted special service, procedure or report |
3,061 |
2,621 |
$14K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
200 |
187 |
$8K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
133 |
96 |
$2K |