| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Als1-emergency |
119,404 |
102,906 |
$48.02M |
| A0429 |
Bls-emergency |
65,788 |
56,296 |
$23.22M |
| A0425 |
Ground mileage |
218,750 |
171,947 |
$15.54M |
| A0431 |
Rotary wing air transport |
3,285 |
3,004 |
$9.95M |
| A0428 |
Bls |
22,751 |
19,284 |
$5.74M |
| A0436 |
Rotary wing air mileage |
3,278 |
3,002 |
$5.45M |
| A0433 |
Als 2 |
2,588 |
2,359 |
$1.34M |
| A0426 |
Als 1 |
5,094 |
4,411 |
$1.29M |
| A0434 |
Specialty care transport |
1,615 |
1,411 |
$989K |
| A0130 |
Noner transport wheelch van |
23,878 |
20,144 |
$599K |
| S0209 |
Wc van mileage per mi |
23,838 |
20,121 |
$284K |
| A0390 |
Advanced life support mileag |
1,627 |
1,387 |
$207K |
| 80048 |
|
703 |
545 |
$75K |
| 99284 |
|
289 |
259 |
$55K |
| 99285 |
|
252 |
229 |
$48K |
| 99282 |
|
57 |
55 |
$7K |
| 70450 |
|
45 |
42 |
$6K |
| A0998 |
Ambulance response/treatment |
15 |
14 |
$4K |
| G0463 |
Hospital outpt clinic visit |
115 |
100 |
$3K |
| A0380 |
Basic life support mileage |
15 |
15 |
$2K |
| 99283 |
|
13 |
13 |
$2K |
| 36415 |
|
12 |
12 |
$2K |
| 71046 |
|
27 |
24 |
$906.33 |
| 93005 |
|
374 |
306 |
$608.80 |
| 85025 |
|
659 |
549 |
$311.14 |
| J8499 |
Oral prescrip drug non chemo |
2,242 |
425 |
$276.22 |
| 80053 |
|
15 |
13 |
$201.86 |
| 96375 |
|
18 |
16 |
$38.03 |
| 96374 |
|
54 |
46 |
$34.97 |
| 71045 |
|
30 |
28 |
$34.48 |
| 84484 |
|
162 |
138 |
$24.28 |
| 80076 |
|
77 |
71 |
$12.98 |
| 85027 |
|
82 |
74 |
$2.90 |
| 82947 |
|
14 |
12 |
$0.58 |
| 83690 |
|
31 |
27 |
$0.54 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
14 |
14 |
$0.00 |
| J7030 |
Normal saline solution infus |
14 |
12 |
$0.00 |