| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
6,184 |
3,973 |
$755K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,637 |
2,188 |
$549K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
813 |
725 |
$216K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,400 |
817 |
$189K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
70 |
62 |
$17K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
93 |
72 |
$8K |