| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,420 |
4,762 |
$938K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,838 |
1,684 |
$285K |
| A0425 |
Ground mileage, per statute mile |
9,407 |
8,037 |
$224K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,459 |
1,281 |
$60K |
| A0398 |
Als routine disposable supplies |
4,138 |
3,659 |
$55K |
| A0382 |
Bls routine disposable supplies |
2,144 |
1,895 |
$25K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
409 |
366 |
$4K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
1,213 |
1,099 |
$79.43 |
| 93041 |
|
452 |
427 |
$35.83 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
373 |
349 |
$29.21 |
| A0998 |
Ambulance response and treatment, no transport |
50 |
45 |
$17.50 |