| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0999 |
Unlisted ambulance service |
2,220 |
1,942 |
$3.61M |
| A0425 |
Ground mileage, per statute mile |
5,666 |
4,433 |
$372K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,591 |
2,238 |
$168K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,831 |
1,643 |
$158K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
115 |
98 |
$9K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
24 |
24 |
$2K |