| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
20,642 |
17,519 |
$4.67M |
| A0425 |
Ground mileage, per statute mile |
31,381 |
24,220 |
$2.42M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
4,642 |
4,174 |
$685K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,754 |
2,621 |
$599K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,154 |
2,843 |
$476K |
| M0245 |
Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring |
106 |
103 |
$41K |
| M0244 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency |
16 |
16 |
$11K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
13 |
13 |
$5K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
5,299 |
4,518 |
$0.00 |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
45 |
39 |
$0.00 |