| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
5,840 |
4,896 |
$200K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,584 |
2,303 |
$166K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,687 |
1,498 |
$113K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
900 |
780 |
$39K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
14 |
12 |
$898.41 |