| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,464 |
3,945 |
$1.07M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,317 |
2,880 |
$787K |
| A0425 |
Ground mileage, per statute mile |
10,924 |
7,600 |
$771K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,629 |
1,087 |
$193K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
557 |
504 |
$91K |
| 0011A |
|
15 |
14 |
$31.74 |
| 0012A |
|
12 |
12 |
$0.00 |