| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,002 |
2,222 |
$331K |
| A0425 |
Ground mileage, per statute mile |
5,114 |
3,377 |
$146K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
210 |
165 |
$16K |
| A0398 |
Als routine disposable supplies |
1,457 |
1,025 |
$7K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
186 |
142 |
$5K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
132 |
97 |
$4K |
| A0382 |
Bls routine disposable supplies |
60 |
46 |
$0.00 |