| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
15,285 |
11,383 |
$2.25M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
7,432 |
6,016 |
$1.45M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,852 |
3,097 |
$748K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,652 |
1,374 |
$96K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
273 |
243 |
$28K |