| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
10,708 |
7,430 |
$528K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,124 |
2,879 |
$156K |
| A0425 |
Ground mileage, per statute mile |
17,112 |
10,407 |
$126K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
2,634 |
1,742 |
$8K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,129 |
671 |
$2K |