| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0999 |
Unlisted ambulance service |
2,897 |
2,492 |
$2.04M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,486 |
3,633 |
$276K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,975 |
2,653 |
$236K |
| A0425 |
Ground mileage, per statute mile |
8,231 |
6,222 |
$53K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
329 |
261 |
$21K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
611 |
540 |
$0.00 |
| A0398 |
Als routine disposable supplies |
51 |
41 |
$0.00 |
| A0392 |
Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances) |
12 |
12 |
$0.00 |
| A0998 |
Ambulance response and treatment, no transport |
67 |
60 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
239 |
214 |
$0.00 |
| A0382 |
Bls routine disposable supplies |
12 |
12 |
$0.00 |