| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,121 |
5,430 |
$1.54M |
| A0425 |
Ground mileage, per statute mile |
9,488 |
8,141 |
$673K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,036 |
1,869 |
$502K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
813 |
745 |
$8K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
27 |
24 |
$3K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
13 |
13 |
$1K |
| A0999 |
Unlisted ambulance service |
30 |
30 |
$4.60 |