| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
60,838 |
44,912 |
$15.21M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
29,364 |
23,964 |
$6.80M |
| A0425 |
Ground mileage, per statute mile |
99,584 |
70,493 |
$4.27M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
7,652 |
5,574 |
$926K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,980 |
1,773 |
$293K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
10,268 |
7,500 |
$107K |
| 93041 |
|
4,698 |
3,262 |
$2K |
| A0433 |
Advanced life support, level 2 (als 2) |
12 |
12 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,232 |
1,522 |
$834.10 |
| A0398 |
Als routine disposable supplies |
5,737 |
3,947 |
$0.00 |
| A0382 |
Bls routine disposable supplies |
456 |
325 |
$0.00 |