| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
47,576 |
27,629 |
$4.33M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
17,791 |
16,329 |
$2.48M |
| A0425 |
Ground mileage, per statute mile |
67,882 |
41,651 |
$1.08M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,330 |
1,583 |
$542K |
| A0999 |
Unlisted ambulance service |
684 |
425 |
$514K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,798 |
2,693 |
$476K |
| A0380 |
Bls mileage (per mile) |
168 |
153 |
$440.00 |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
453 |
360 |
$103.59 |