| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
13,195 |
11,423 |
$2.70M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
7,870 |
6,992 |
$1.47M |
| A0425 |
Ground mileage, per statute mile |
20,842 |
17,569 |
$700K |
| A0398 |
Als routine disposable supplies |
9,465 |
8,305 |
$127K |
| A0382 |
Bls routine disposable supplies |
6,443 |
5,753 |
$89K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
599 |
534 |
$7K |
| 93000 |
|
375 |
301 |
$98.26 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
232 |
192 |
$33.37 |
| 99072 |
|
19 |
19 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
22 |
16 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
13 |
12 |
$0.00 |
| J3490 |
Unclassified drugs |
60 |
38 |
$0.00 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
19 |
15 |
$0.00 |