| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
11,216 |
8,653 |
$1.13M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
8,270 |
6,462 |
$672K |
| A0425 |
Ground mileage, per statute mile |
32,500 |
16,557 |
$630K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
12,821 |
5,030 |
$414K |
| A0380 |
Bls mileage (per mile) |
720 |
223 |
$9K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
227 |
184 |
$2K |
| A0433 |
Advanced life support, level 2 (als 2) |
12 |
12 |
$1K |