| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,415 |
4,865 |
$1.23M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,833 |
3,423 |
$761K |
| A0425 |
Ground mileage, per statute mile |
10,653 |
8,488 |
$470K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
941 |
866 |
$101K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
27 |
26 |
$4K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
16 |
13 |
$212.80 |