| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
34,973 |
15,199 |
$1.18M |
| A0425 |
Ground mileage, per statute mile |
42,942 |
20,612 |
$628K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,837 |
3,112 |
$271K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,466 |
2,018 |
$189K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
824 |
695 |
$30K |
| A0398 |
Als routine disposable supplies |
2,781 |
850 |
$14K |
| A0434 |
Specialty care transport (sct) |
103 |
76 |
$14K |
| A0382 |
Bls routine disposable supplies |
624 |
398 |
$3K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
155 |
110 |
$844.68 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
39 |
28 |
$124.28 |
| 94760 |
|
1,800 |
1,335 |
$80.22 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
121 |
92 |
$21.15 |
| 93041 |
|
245 |
191 |
$17.76 |