| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
39,324 |
28,672 |
$2.42M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
9,348 |
8,158 |
$1.07M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
18,179 |
12,819 |
$1.03M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
8,068 |
7,081 |
$825K |
| T2005 |
Non-emergency transportation; stretcher van |
3,133 |
2,311 |
$525K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,068 |
1,474 |
$122K |
| A0433 |
Advanced life support, level 2 (als 2) |
311 |
290 |
$69K |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
3,128 |
2,308 |
$8K |
| A0225 |
Ambulance service, neonatal transport, base rate, emergency transport, one way |
27 |
26 |
$3K |