| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
24,886 |
14,517 |
$748K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,049 |
4,515 |
$259K |
| A0425 |
Ground mileage, per statute mile |
34,446 |
21,204 |
$191K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,754 |
2,417 |
$162K |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
572 |
442 |
$14K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
106 |
102 |
$8K |