| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0999 |
Unlisted ambulance service |
28,794 |
24,741 |
$75.13M |
| A0427 |
Als1-emergency |
20,706 |
18,820 |
$2.05M |
| A0429 |
Bls-emergency |
24,526 |
20,900 |
$1.78M |
| A0425 |
Ground mileage |
45,608 |
39,119 |
$593K |
| A0998 |
Ambulance response/treatment |
2,230 |
1,936 |
$229K |
| A0433 |
Als 2 |
89 |
83 |
$9K |
| A0422 |
Ambulance 02 life sustaining |
104 |
92 |
$0.00 |
| A9279 |
Monitoring feature/devicenoc |
168 |
126 |
$0.00 |
| J2310 |
Inj naloxone hydrochloride |
16 |
16 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
13 |
13 |
$0.00 |
| A4556 |
Electrodes, pair |
215 |
163 |
$0.00 |
| J3490 |
Drugs unclassified injection |
131 |
90 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
25 |
16 |
$0.00 |
| A4772 |
Blood glucose test strips |
270 |
224 |
$0.00 |
| A0394 |
Als iv drug therapy supplies |
506 |
409 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
29 |
18 |
$0.00 |