| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,272 |
4,172 |
$1.03M |
| A0425 |
Ground mileage, per statute mile |
14,849 |
9,703 |
$936K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,096 |
3,052 |
$709K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
4,269 |
3,043 |
$536K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
988 |
831 |
$24K |
| A0434 |
Specialty care transport (sct) |
46 |
39 |
$14K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
17 |
14 |
$4K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
90 |
68 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
696 |
607 |
$0.00 |