| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
8,424 |
7,201 |
$1.31M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,041 |
1,879 |
$441K |
| A0425 |
Ground mileage, per statute mile |
13,313 |
11,100 |
$441K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,465 |
1,979 |
$116K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
127 |
115 |
$2K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
17 |
14 |
$1K |
| A0382 |
Bls routine disposable supplies |
459 |
288 |
$171.71 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
12 |
12 |
$10.53 |
| A0398 |
Als routine disposable supplies |
38 |
13 |
$0.00 |