| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
4,041 |
3,061 |
$402K |
| A0425 |
Ground mileage, per statute mile |
5,924 |
4,551 |
$298K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
705 |
583 |
$160K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
775 |
693 |
$83K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
248 |
220 |
$21K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
362 |
333 |
$74.81 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
145 |
133 |
$21.00 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
145 |
130 |
$19.00 |