| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
22,833 |
18,173 |
$1.56M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
8,691 |
7,626 |
$1.16M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,541 |
5,911 |
$1.06M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
6,705 |
5,140 |
$634K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
591 |
558 |
$134K |
| A0398 |
Als routine disposable supplies |
10,217 |
5,149 |
$88K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
3,339 |
2,291 |
$19K |
| A0999 |
Unlisted ambulance service |
4,147 |
2,723 |
$7K |
| 93041 |
|
568 |
538 |
$575.40 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
639 |
593 |
$40.13 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
26 |
26 |
$0.00 |