| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
6,620 |
4,598 |
$387K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,829 |
2,396 |
$262K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,930 |
2,145 |
$71K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
174 |
161 |
$10K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
110 |
100 |
$5K |