| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
28,445 |
18,092 |
$2.74M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
41,976 |
24,661 |
$1.28M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,000 |
1,534 |
$261K |
| A0425 |
Ground mileage, per statute mile |
65,424 |
40,721 |
$207K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
913 |
631 |
$36K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
551 |
408 |
$0.00 |