| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
11,428 |
9,012 |
$721K |
| A0425 |
Ground mileage, per statute mile |
19,907 |
14,596 |
$376K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,924 |
4,724 |
$292K |
| T2005 |
Non-emergency transportation; stretcher van |
1,746 |
1,519 |
$62K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
2,800 |
2,320 |
$20K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
16 |
12 |
$42.00 |