| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,138 |
749 |
$65K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
6,886 |
999 |
$46K |
| A0425 |
Ground mileage, per statute mile |
8,569 |
2,047 |
$32K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
393 |
269 |
$22K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
254 |
169 |
$2K |
| A0380 |
Bls mileage (per mile) |
266 |
65 |
$1K |
| A0998 |
Ambulance response and treatment, no transport |
44 |
29 |
$60.00 |