| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
13,230 |
10,514 |
$1.81M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
8,556 |
6,867 |
$872K |
| A0425 |
Ground mileage, per statute mile |
15,571 |
11,613 |
$139K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,159 |
1,666 |
$53K |
| 99199 |
Unlisted special service, procedure or report |
5,340 |
3,559 |
$26K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
160 |
130 |
$11K |