| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
13,361 |
11,195 |
$1.78M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
6,159 |
4,810 |
$674K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
19,250 |
7,438 |
$497K |
| A0425 |
Ground mileage, per statute mile |
39,631 |
19,777 |
$325K |
| A0398 |
Als routine disposable supplies |
13,294 |
4,688 |
$64K |
| A0382 |
Bls routine disposable supplies |
13,045 |
6,509 |
$20K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
913 |
649 |
$8K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
94 |
88 |
$5K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,878 |
1,492 |
$1K |
| J7050 |
Infusion, normal saline solution, 250 cc |
295 |
237 |
$38.43 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
17 |
12 |
$2.55 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
5,869 |
2,356 |
$0.00 |
| A0392 |
Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances) |
1,238 |
1,001 |
$0.00 |