| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
7,527 |
5,812 |
$1.04M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,509 |
3,564 |
$521K |
| A0425 |
Ground mileage, per statute mile |
14,369 |
9,688 |
$422K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,670 |
1,308 |
$33K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
192 |
178 |
$2K |
| A0380 |
Bls mileage (per mile) |
13 |
13 |
$342.72 |