| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
41,776 |
21,202 |
$4.08M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
10,303 |
8,260 |
$2.69M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
10,828 |
8,550 |
$2.28M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
17,153 |
6,802 |
$1.91M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
3,095 |
2,629 |
$603K |