| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
12,342 |
8,775 |
$1.47M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,521 |
1,801 |
$236K |
| 99199 |
Unlisted special service, procedure or report |
46,014 |
46,013 |
$226K |
| A0425 |
Ground mileage, per statute mile |
12,406 |
8,647 |
$110K |
| A0433 |
Advanced life support, level 2 (als 2) |
373 |
270 |
$25K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
56 |
51 |
$2K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
42 |
29 |
$353.75 |