| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
13,068 |
5,264 |
$308K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
7,980 |
3,159 |
$211K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,904 |
2,202 |
$163K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,921 |
1,360 |
$69K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
13 |
12 |
$660.00 |