| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,880 |
3,265 |
$775K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,044 |
3,213 |
$599K |
| A0425 |
Ground mileage, per statute mile |
7,946 |
6,244 |
$186K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
71 |
57 |
$510.52 |
| 0002A |
|
26 |
26 |
$186.05 |
| 0001A |
|
27 |
26 |
$148.84 |
| 0003A |
|
27 |
26 |
$148.84 |
| M0201 |
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home |
25 |
23 |
$130.56 |