| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
5,115 |
4,597 |
$555K |
| A0425 |
Ground mileage, per statute mile |
7,885 |
6,568 |
$445K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,292 |
1,132 |
$208K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
585 |
528 |
$102K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
775 |
764 |
$89K |
| 93041 |
|
414 |
400 |
$4K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
31 |
28 |
$269.40 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
17 |
14 |
$114.40 |