| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
15,345 |
12,606 |
$521K |
| T2003 |
Non-emergency transportation; encounter/trip |
1,242 |
880 |
$311K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
12,770 |
10,616 |
$230K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,534 |
2,176 |
$57K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
274 |
233 |
$29K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
89 |
77 |
$5K |