| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,922 |
6,256 |
$1.73M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,623 |
4,957 |
$1.55M |
| A0425 |
Ground mileage, per statute mile |
12,697 |
10,900 |
$567K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
819 |
789 |
$8K |
| 93041 |
|
420 |
405 |
$7K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
110 |
100 |
$4K |