| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
635,417 |
502,007 |
$165.96M |
| A0425 |
Ground mileage, per statute mile |
1,354,998 |
848,033 |
$100.02M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
265,312 |
218,721 |
$37.69M |
| A0431 |
Ambulance service, conventional air services, transport, one way (rotary wing) |
17,959 |
12,846 |
$35.84M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
421,981 |
216,801 |
$32.04M |
| A0436 |
Rotary wing air mileage, per statute mile |
17,892 |
12,782 |
$19.08M |
| A0398 |
Als routine disposable supplies |
455,099 |
349,241 |
$8.51M |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
215,616 |
176,488 |
$6.23M |
| A0434 |
Specialty care transport (sct) |
21,399 |
16,544 |
$4.65M |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
73,368 |
56,745 |
$4.38M |
| A0433 |
Advanced life support, level 2 (als 2) |
10,497 |
9,358 |
$2.89M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
27,455 |
21,954 |
$2.39M |
| A0382 |
Bls routine disposable supplies |
181,307 |
148,385 |
$2.35M |
| A0130 |
Non-emergency transportation: wheelchair van |
3,020 |
830 |
$667K |
| A0380 |
Bls mileage (per mile) |
1,064 |
436 |
$27K |
| A0999 |
Unlisted ambulance service |
914 |
675 |
$525.00 |
| 93041 |
|
1,144 |
686 |
$127.66 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,411 |
869 |
$76.57 |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
6,372 |
4,624 |
$0.00 |
| 94760 |
|
513 |
302 |
$0.00 |
| A0226 |
|
200 |
195 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
17 |
14 |
$0.00 |