| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
15,717 |
13,160 |
$2.68M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,889 |
4,541 |
$848K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
7,397 |
2,584 |
$844K |
| S0215 |
Non-emergency transportation; mileage, per mile |
3,204 |
1,323 |
$114K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
306 |
281 |
$32K |
| A0425 |
Ground mileage, per statute mile |
10,826 |
6,717 |
$23K |