| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,721 |
5,633 |
$441K |
| A0425 |
Ground mileage, per statute mile |
12,792 |
9,678 |
$373K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,275 |
2,895 |
$182K |
| T2005 |
Non-emergency transportation; stretcher van |
865 |
783 |
$39K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
864 |
718 |
$10K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
203 |
183 |
$2K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
38 |
38 |
$791.76 |