| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
23,755 |
13,535 |
$902K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,947 |
6,974 |
$520K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,686 |
4,692 |
$244K |
| T2005 |
Non-emergency transportation; stretcher van |
3,239 |
1,800 |
$103K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
5,466 |
2,540 |
$28K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
2,567 |
1,568 |
$15K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
430 |
386 |
$7K |