| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
10,855 |
8,479 |
$1.73M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,753 |
3,905 |
$671K |
| A0425 |
Ground mileage, per statute mile |
18,680 |
11,720 |
$528K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,967 |
700 |
$128K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
91 |
67 |
$5K |
| A0433 |
Advanced life support, level 2 (als 2) |
33 |
25 |
$2K |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
1,370 |
1,124 |
$0.00 |