| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,782 |
4,398 |
$951K |
| A0425 |
Ground mileage, per statute mile |
4,694 |
3,376 |
$727K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
29 |
25 |
$6K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
14 |
14 |
$3K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
13 |
12 |
$2K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
63 |
29 |
$898.20 |