| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
7,753 |
6,247 |
$442K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,746 |
3,809 |
$196K |
| A0425 |
Ground mileage, per statute mile |
14,418 |
10,413 |
$99K |
| T2005 |
Non-emergency transportation; stretcher van |
722 |
551 |
$17K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
2,076 |
1,689 |
$13K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
73 |
58 |
$358.13 |