| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
3,995 |
3,244 |
$260K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,234 |
1,108 |
$189K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,060 |
973 |
$177K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
416 |
332 |
$52K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
15 |
12 |
$3K |