| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
899 |
807 |
$98K |
| A0425 |
Ground mileage, per statute mile |
1,778 |
1,620 |
$92K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
297 |
272 |
$42K |
| A0225 |
Ambulance service, neonatal transport, base rate, emergency transport, one way |
77 |
74 |
$10K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
27 |
14 |
$3K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
12 |
12 |
$78.24 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
162 |
140 |
$0.00 |