| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0999 |
Unlisted ambulance service |
4,949 |
4,430 |
$12.72M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,447 |
3,141 |
$417K |
| A0425 |
Ground mileage, per statute mile |
6,464 |
5,743 |
$344K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,757 |
2,510 |
$263K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
4,806 |
3,769 |
$9.98 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,525 |
2,287 |
$0.00 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
2,144 |
1,940 |
$0.00 |
| A0398 |
Als routine disposable supplies |
92 |
81 |
$0.00 |