| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
13,146 |
4,633 |
$2.22M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,265 |
3,091 |
$414K |
| A0999 |
Unlisted ambulance service |
325 |
248 |
$250K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
563 |
377 |
$198K |
| A0425 |
Ground mileage, per statute mile |
14,920 |
7,607 |
$190K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,211 |
1,172 |
$179K |