| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
66,253 |
18,730 |
$3.46M |
| A0425 |
Ground mileage, per statute mile |
81,400 |
28,164 |
$2.85M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,937 |
5,081 |
$878K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,849 |
3,111 |
$813K |
| A0130 |
Non-emergency transportation: wheelchair van |
10,450 |
2,938 |
$321K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,040 |
1,023 |
$222K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,797 |
1,134 |
$12K |
| T2003 |
Non-emergency transportation; encounter/trip |
130 |
76 |
$3K |
| A0382 |
Bls routine disposable supplies |
11,825 |
7,305 |
$429.30 |
| 93041 |
|
541 |
493 |
$400.38 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
364 |
330 |
$268.84 |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
476 |
155 |
$204.93 |
| J3490 |
Unclassified drugs |
24 |
23 |
$93.75 |
| A0398 |
Als routine disposable supplies |
2,433 |
1,989 |
$50.00 |
| A0999 |
Unlisted ambulance service |
47 |
41 |
$0.00 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
597 |
537 |
$0.00 |