| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,158 |
2,615 |
$419K |
| A0425 |
Ground mileage, per statute mile |
3,552 |
2,952 |
$39K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
138 |
132 |
$13K |
| A0999 |
Unlisted ambulance service |
1,431 |
1,048 |
$581.23 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
81 |
73 |
$308.22 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
268 |
205 |
$275.90 |
| A0398 |
Als routine disposable supplies |
13 |
12 |
$55.14 |
| A0998 |
Ambulance response and treatment, no transport |
42 |
38 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
170 |
119 |
$0.00 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
651 |
511 |
$0.00 |