| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,467 |
3,330 |
$698K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
15,916 |
4,611 |
$400K |
| A0425 |
Ground mileage, per statute mile |
21,433 |
9,690 |
$253K |
| A0434 |
Specialty care transport (sct) |
998 |
929 |
$136K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
31 |
29 |
$5K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
67 |
64 |
$3K |