| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,458 |
3,086 |
$640K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,776 |
2,600 |
$580K |
| A0425 |
Ground mileage, per statute mile |
10,394 |
9,154 |
$541K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
3,877 |
3,540 |
$324K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
53 |
49 |
$8K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
152 |
135 |
$3K |
| A0432 |
Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers |
14 |
14 |
$1K |