| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
12,101 |
10,322 |
$1.95M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,987 |
5,364 |
$1.11M |
| A0425 |
Ground mileage, per statute mile |
19,652 |
15,981 |
$476K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,406 |
1,267 |
$124K |
| A0380 |
Bls mileage (per mile) |
296 |
247 |
$11K |
| A0390 |
Als mileage (per mile) |
174 |
146 |
$8K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
12 |
12 |
$2K |