| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
8,802 |
7,184 |
$309K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
6,031 |
5,156 |
$97K |
| A0436 |
Rotary wing air mileage, per statute mile |
356 |
129 |
$60K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,849 |
1,543 |
$53K |
| A0431 |
Ambulance service, conventional air services, transport, one way (rotary wing) |
361 |
130 |
$47K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
122 |
101 |
$10K |
| A0434 |
Specialty care transport (sct) |
52 |
51 |
$4K |
| A0433 |
Advanced life support, level 2 (als 2) |
17 |
12 |
$1K |