| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
11,026 |
5,134 |
$750K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
9,061 |
3,930 |
$101K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
45 |
42 |
$2K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
622 |
526 |
$1K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
139 |
116 |
$710.25 |