| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
5,206 |
3,417 |
$425K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,979 |
1,614 |
$238K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,777 |
1,018 |
$110K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
373 |
197 |
$26K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
76 |
66 |
$7K |