| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
10,738 |
9,646 |
$2.12M |
| A0425 |
Ground mileage, per statute mile |
19,422 |
16,508 |
$966K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,255 |
3,707 |
$903K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
3,702 |
3,098 |
$168K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
335 |
220 |
$24K |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
51 |
40 |
$1K |
| A0999 |
Unlisted ambulance service |
13,954 |
11,834 |
$968.99 |
| A4670 |
Automatic blood pressure monitor |
124 |
90 |
$837.69 |
| A0130 |
Non-emergency transportation: wheelchair van |
22 |
14 |
$250.92 |
| A0398 |
Als routine disposable supplies |
194 |
136 |
$0.00 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
27 |
25 |
$0.00 |