| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
6,670 |
4,773 |
$1.25M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
6,865 |
5,228 |
$726K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,680 |
4,377 |
$342K |
| A0425 |
Ground mileage, per statute mile |
15,839 |
10,525 |
$28K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
89 |
84 |
$24K |
| A0433 |
Advanced life support, level 2 (als 2) |
24 |
16 |
$6K |