| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
34,560 |
24,234 |
$6.75M |
| A0425 |
Ground mileage, per statute mile |
52,495 |
27,689 |
$6.00M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
13,525 |
2,569 |
$661K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,007 |
3,102 |
$638K |
| A0398 |
Als routine disposable supplies |
23,604 |
14,940 |
$361K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
3,331 |
2,330 |
$166K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
954 |
636 |
$42K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
80 |
51 |
$11K |
| A0382 |
Bls routine disposable supplies |
360 |
310 |
$9K |
| 93041 |
|
17 |
14 |
$0.00 |
| 94760 |
|
49 |
16 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
110 |
26 |
$0.00 |