| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
2,107 |
1,847 |
$81K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,269 |
1,126 |
$22K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
689 |
620 |
$22K |
| A0431 |
Ambulance service, conventional air services, transport, one way (rotary wing) |
97 |
71 |
$18K |
| A0436 |
Rotary wing air mileage, per statute mile |
95 |
70 |
$17K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
17 |
16 |
$2K |