| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
42,471 |
35,685 |
$8.09M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
17,187 |
15,239 |
$3.01M |
| A0380 |
Bls mileage (per mile) |
38,884 |
31,790 |
$1.11M |
| A0390 |
Als mileage (per mile) |
17,998 |
14,981 |
$569K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
6,676 |
3,713 |
$516K |
| A0998 |
Ambulance response and treatment, no transport |
7,177 |
6,645 |
$456K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,302 |
1,172 |
$249K |
| A0398 |
Als routine disposable supplies |
3,731 |
3,204 |
$47K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
2,486 |
2,089 |
$44K |
| A0382 |
Bls routine disposable supplies |
4,134 |
3,474 |
$39K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
1,105 |
967 |
$30K |
| A0425 |
Ground mileage, per statute mile |
11,955 |
8,540 |
$11K |
| A0384 |
Bls specialized service disposable supplies; defibrillation (used by als ambulances and bls ambulances in jurisdictions where defibrillation is permitted in bls ambulances) |
122 |
112 |
$1K |