| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
12,358 |
11,101 |
$975K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
11,575 |
9,537 |
$841K |
| A0425 |
Ground mileage, per statute mile |
24,336 |
20,151 |
$105K |
| A0382 |
Bls routine disposable supplies |
148 |
111 |
$3K |
| A0398 |
Als routine disposable supplies |
82 |
71 |
$2K |
| A0998 |
Ambulance response and treatment, no transport |
13 |
13 |
$1K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
110 |
98 |
$993.30 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
44 |
39 |
$327.02 |
| 93041 |
|
82 |
77 |
$284.79 |