| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
20,158 |
8,077 |
$854K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
10,351 |
2,353 |
$323K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,169 |
3,098 |
$295K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,862 |
2,929 |
$268K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,347 |
1,100 |
$156K |