| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
384 |
265 |
$54K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
293 |
253 |
$44K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
206 |
114 |
$36K |
| A0425 |
Ground mileage, per statute mile |
1,164 |
616 |
$4K |
| E0570 |
Nebulizer, with compressor |
15 |
15 |
$1K |
| A0382 |
Bls routine disposable supplies |
15 |
12 |
$0.00 |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
176 |
151 |
$0.00 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
19 |
15 |
$0.00 |
| A0999 |
Unlisted ambulance service |
87 |
63 |
$0.00 |
| A0398 |
Als routine disposable supplies |
70 |
58 |
$0.00 |