| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,182 |
3,128 |
$671K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,875 |
2,103 |
$379K |
| A0425 |
Ground mileage, per statute mile |
8,573 |
5,601 |
$300K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
274 |
194 |
$18K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
14 |
12 |
$329.04 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
29 |
24 |
$211.50 |