| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,785 |
3,714 |
$479K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,656 |
2,281 |
$296K |
| A0425 |
Ground mileage, per statute mile |
8,747 |
6,408 |
$119K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
160 |
126 |
$5K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
461 |
404 |
$3K |
| 93041 |
|
208 |
184 |
$500.69 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
30 |
24 |
$178.86 |