| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
22,818 |
15,831 |
$2.27M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
9,415 |
6,743 |
$924K |
| A0425 |
Ground mileage, per statute mile |
40,969 |
24,102 |
$436K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
7,789 |
4,104 |
$118K |
| A0433 |
Advanced life support, level 2 (als 2) |
508 |
445 |
$94K |
| A0380 |
Bls mileage (per mile) |
440 |
201 |
$5K |
| A0390 |
Als mileage (per mile) |
158 |
140 |
$4K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
42 |
29 |
$0.00 |