| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
9,403 |
6,329 |
$828K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,089 |
2,142 |
$230K |
| A0425 |
Ground mileage, per statute mile |
11,038 |
5,690 |
$89K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,369 |
1,181 |
$56K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,544 |
997 |
$52K |
| A0999 |
Unlisted ambulance service |
2,841 |
1,913 |
$14K |
| A0398 |
Als routine disposable supplies |
20 |
14 |
$0.00 |