| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
74,365 |
64,300 |
$6.72M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
24,263 |
22,855 |
$5.52M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
38,807 |
32,409 |
$4.49M |
| A0434 |
Specialty care transport (sct) |
5,588 |
5,281 |
$1.20M |
| A0225 |
Ambulance service, neonatal transport, base rate, emergency transport, one way |
1,505 |
1,427 |
$979K |
| A0999 |
Unlisted ambulance service |
942 |
676 |
$685K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,042 |
1,976 |
$499K |
| T2005 |
Non-emergency transportation; stretcher van |
15,503 |
13,593 |
$401K |
| A0380 |
Bls mileage (per mile) |
16,612 |
13,777 |
$229K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,487 |
1,356 |
$213K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
14,183 |
12,335 |
$75K |
| 93041 |
|
4,778 |
4,570 |
$73K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
5,270 |
4,786 |
$51K |
| A0130 |
Non-emergency transportation: wheelchair van |
2,101 |
1,413 |
$43K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
2,637 |
2,432 |
$41K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
48 |
48 |
$337.94 |