| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,025 |
888 |
$259K |
| A0425 |
Ground mileage, per statute mile |
2,588 |
2,131 |
$224K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
597 |
516 |
$128K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
14 |
13 |
$385.11 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
13 |
13 |
$0.00 |