| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,480 |
2,874 |
$476K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,450 |
1,185 |
$158K |
| A0425 |
Ground mileage, per statute mile |
5,436 |
4,335 |
$79K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
106 |
80 |
$12K |
| A0398 |
Als routine disposable supplies |
642 |
522 |
$7K |
| A0999 |
Unlisted ambulance service |
302 |
239 |
$2K |
| 93041 |
|
112 |
89 |
$488.40 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
19 |
17 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
17 |
15 |
$0.00 |