| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
16,720 |
12,848 |
$1.11M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
10,445 |
8,562 |
$962K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
4,906 |
3,419 |
$159K |
| A0425 |
Ground mileage, per statute mile |
10,677 |
8,016 |
$66K |
| T2003 |
Non-emergency transportation; encounter/trip |
20 |
12 |
$4K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
54 |
52 |
$2K |
| 99199 |
Unlisted special service, procedure or report |
29 |
29 |
$138.24 |