| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
5,740 |
4,755 |
$1.01M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,309 |
2,109 |
$558K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,311 |
1,185 |
$218K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
850 |
822 |
$201K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
304 |
288 |
$63K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
218 |
189 |
$0.00 |