| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
20,604 |
11,341 |
$2.18M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
7,039 |
5,303 |
$1.23M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,430 |
3,515 |
$920K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
6,769 |
3,896 |
$602K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,896 |
1,533 |
$322K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
91 |
61 |
$5K |