| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
19,901 |
14,621 |
$2.89M |
| A0425 |
Ground mileage, per statute mile |
44,468 |
19,821 |
$1.34M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
22,675 |
5,586 |
$574K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,723 |
2,049 |
$229K |
| A0398 |
Als routine disposable supplies |
66,264 |
19,361 |
$198K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
5,491 |
3,423 |
$59K |
| A0999 |
Unlisted ambulance service |
90,299 |
19,443 |
$6K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
3,278 |
2,852 |
$4K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
895 |
590 |
$0.00 |
| 93041 |
|
112 |
100 |
$0.00 |
| A4772 |
Blood glucose test strips, for dialysis, per 50 |
18 |
17 |
$0.00 |