| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
4,412 |
3,216 |
$662K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,238 |
1,803 |
$295K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
269 |
239 |
$37K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
301 |
242 |
$10K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
17 |
16 |
$527.20 |