| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
18,490 |
15,971 |
$3.07M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
9,655 |
9,064 |
$1.87M |
| A0425 |
Ground mileage, per statute mile |
29,808 |
25,233 |
$912K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,060 |
962 |
$141K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
27 |
27 |
$4K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,561 |
1,423 |
$695.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,056 |
3,796 |
$26.83 |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
265 |
246 |
$16.60 |