| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,271 |
3,552 |
$578K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,877 |
3,324 |
$577K |
| A0425 |
Ground mileage, per statute mile |
8,325 |
6,701 |
$84K |
| A0398 |
Als routine disposable supplies |
572 |
468 |
$5K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
491 |
443 |
$2K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
885 |
763 |
$451.50 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
161 |
141 |
$27.17 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
67 |
65 |
$0.00 |