| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,266 |
2,137 |
$267K |
| A0425 |
Ground mileage, per statute mile |
4,940 |
2,948 |
$90K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
952 |
618 |
$73K |
| A0398 |
Als routine disposable supplies |
4,447 |
1,801 |
$10K |
| A0382 |
Bls routine disposable supplies |
1,480 |
886 |
$5K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
65 |
59 |
$3K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
35 |
16 |
$1K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
241 |
204 |
$233.49 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
863 |
532 |
$163.04 |
| 99199 |
|
174 |
120 |
$156.60 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
1,414 |
935 |
$123.20 |
| 0012A |
|
123 |
76 |
$76.00 |
| A4217 |
Sterile water/saline, 500 ml |
596 |
340 |
$43.96 |
| 0011A |
|
118 |
71 |
$32.18 |
| A4930 |
Gloves, sterile, per pair |
1,507 |
882 |
$4.25 |
| 99070 |
|
135 |
95 |
$0.00 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
759 |
443 |
$0.00 |
| A4615 |
Cannula, nasal |
44 |
42 |
$0.00 |