| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0999 |
Unlisted ambulance service |
5,242 |
4,556 |
$10.14M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
7,101 |
6,092 |
$515K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,239 |
2,062 |
$189K |
| A0425 |
Ground mileage, per statute mile |
9,456 |
8,078 |
$165K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
576 |
527 |
$147.22 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
1,105 |
1,021 |
$103.00 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
803 |
643 |
$51.50 |