| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
14,682 |
9,828 |
$610K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,900 |
3,369 |
$383K |
| T2005 |
Non-emergency transportation; stretcher van |
1,912 |
593 |
$380K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,543 |
3,714 |
$356K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
5,332 |
2,732 |
$74K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
1,912 |
593 |
$5K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
245 |
180 |
$1K |