| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
19,899 |
17,860 |
$3.10M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
10,359 |
9,370 |
$1.67M |
| A0425 |
Ground mileage, per statute mile |
30,847 |
27,542 |
$1.18M |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
2,307 |
2,145 |
$22K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,416 |
1,366 |
$12K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
65 |
61 |
$6K |
| A0433 |
Advanced life support, level 2 (als 2) |
25 |
25 |
$3K |
| 90686 |
|
13 |
13 |
$0.00 |
| 90710 |
|
15 |
15 |
$0.00 |