| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
12,141 |
7,470 |
$1.34M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,171 |
4,017 |
$1.16M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,273 |
1,901 |
$612K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
3,468 |
2,028 |
$407K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
571 |
530 |
$114K |
| A0998 |
Ambulance response and treatment, no transport |
26 |
17 |
$1K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
18 |
13 |
$450.00 |