| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
9,615 |
7,122 |
$1.26M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,434 |
2,982 |
$1.04M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,540 |
1,350 |
$418K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
447 |
355 |
$67K |
| A0998 |
Ambulance response and treatment, no transport |
134 |
110 |
$28K |
| T1016 |
Case management, each 15 minutes |
792 |
238 |
$18K |
| A0434 |
Specialty care transport (sct) |
12 |
12 |
$8K |