| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
22,180 |
17,610 |
$1.71M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,895 |
7,499 |
$944K |
| A0425 |
Ground mileage, per statute mile |
30,741 |
23,968 |
$115K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
63 |
46 |
$2K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
230 |
201 |
$0.00 |