| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
75,515 |
67,214 |
$8.66M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
27,243 |
26,188 |
$5.56M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
21,293 |
20,472 |
$4.88M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
25,670 |
21,527 |
$1.92M |
| A0382 |
Bls routine disposable supplies |
29,675 |
26,085 |
$427K |
| A0398 |
Als routine disposable supplies |
15,441 |
14,727 |
$244K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
376 |
270 |
$44K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
3,791 |
3,388 |
$43K |
| A0434 |
Specialty care transport (sct) |
14 |
13 |
$6K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
191 |
83 |
$4K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
104 |
103 |
$0.00 |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
40 |
39 |
$0.00 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
150 |
144 |
$0.00 |
| A0396 |
Als specialized service disposable supplies; esophageal intubation |
16 |
15 |
$0.00 |