| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
9,321 |
7,466 |
$3.92M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
8,554 |
6,847 |
$3.44M |
| A0425 |
Ground mileage, per statute mile |
21,531 |
15,472 |
$849K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,229 |
1,070 |
$229K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,004 |
1,559 |
$190K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,462 |
1,079 |
$15K |
| A0130 |
Non-emergency transportation: wheelchair van |
105 |
78 |
$2K |