| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,912 |
3,441 |
$890K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,267 |
3,306 |
$642K |
| A0425 |
Ground mileage, per statute mile |
11,004 |
8,251 |
$505K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,790 |
1,477 |
$216K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
592 |
544 |
$103K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
76 |
46 |
$10K |
| A0130 |
Non-emergency transportation: wheelchair van |
66 |
26 |
$5K |