| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
5,042 |
3,631 |
$148K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,256 |
1,805 |
$127K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,875 |
1,497 |
$75K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
248 |
213 |
$2K |
| T2005 |
Non-emergency transportation; stretcher van |
60 |
51 |
$2K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
13 |
13 |
$0.00 |