| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0999 |
Unlisted ambulance service |
5,464 |
4,365 |
$3.67M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,922 |
5,826 |
$537K |
| A0425 |
Ground mileage, per statute mile |
15,180 |
12,525 |
$474K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,336 |
2,752 |
$238K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,869 |
2,610 |
$108K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
855 |
816 |
$61K |
| A0433 |
Advanced life support, level 2 (als 2) |
208 |
204 |
$43K |
| A0434 |
Specialty care transport (sct) |
27 |
25 |
$3K |