| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
9,955 |
6,843 |
$930K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
7,703 |
5,528 |
$753K |
| A0425 |
Ground mileage, per statute mile |
28,134 |
13,368 |
$463K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
9,816 |
3,276 |
$128K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
161 |
110 |
$2K |
| A0380 |
Bls mileage (per mile) |
161 |
41 |
$1K |