| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
33,469 |
23,162 |
$775K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
10,157 |
8,219 |
$565K |
| T2005 |
Non-emergency transportation; stretcher van |
8,183 |
6,318 |
$322K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,315 |
4,443 |
$231K |
| A0382 |
Bls routine disposable supplies |
2,748 |
1,836 |
$179K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
8,944 |
6,450 |
$45K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
3,488 |
2,621 |
$20K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
340 |
323 |
$3K |
| A0398 |
Als routine disposable supplies |
215 |
136 |
$2K |
| E0781 |
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient |
2,015 |
1,709 |
$650.00 |
| A0999 |
Unlisted ambulance service |
1,104 |
817 |
$26.52 |
| 93041 |
|
93 |
71 |
$25.20 |
| 57220 |
|
85 |
76 |
$0.00 |
| A4615 |
Cannula, nasal |
25 |
14 |
$0.00 |
| 888888 |
|
21 |
13 |
$0.00 |