| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
68,173 |
40,464 |
$6.89M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
21,756 |
16,575 |
$5.39M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
16,197 |
13,413 |
$4.50M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
26,892 |
14,525 |
$3.23M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,926 |
1,781 |
$412K |
| A0434 |
Specialty care transport (sct) |
475 |
388 |
$229K |
| A0999 |
Unlisted ambulance service |
9,080 |
5,223 |
$91K |
| A0998 |
Ambulance response and treatment, no transport |
1,340 |
785 |
$72K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
912 |
733 |
$30K |
| A0392 |
Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances) |
1,003 |
933 |
$2K |
| A0382 |
Bls routine disposable supplies |
1,218 |
1,031 |
$542.71 |
| 94760 |
|
9,073 |
4,986 |
$480.19 |
| 94761 |
|
1,950 |
1,359 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
14 |
14 |
$0.00 |