| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
32,186 |
14,376 |
$867K |
| A0425 |
Ground mileage, per statute mile |
36,934 |
17,587 |
$472K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,972 |
1,619 |
$223K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,422 |
1,171 |
$115K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,144 |
878 |
$39K |
| S0215 |
Non-emergency transportation; mileage, per mile |
35 |
28 |
$7K |