| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
32,785 |
28,442 |
$5.27M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
19,869 |
17,531 |
$3.33M |
| A0425 |
Ground mileage, per statute mile |
64,488 |
51,274 |
$1.28M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
10,433 |
9,134 |
$389K |
| A0398 |
Als routine disposable supplies |
17,830 |
15,543 |
$269K |
| A0382 |
Bls routine disposable supplies |
19,032 |
16,120 |
$247K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
2,824 |
2,540 |
$33K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
286 |
281 |
$14K |
| A0433 |
Advanced life support, level 2 (als 2) |
49 |
49 |
$8K |
| A0434 |
Specialty care transport (sct) |
18 |
18 |
$3K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
2,886 |
2,646 |
$183.05 |
| A0999 |
Unlisted ambulance service |
41 |
39 |
$28.56 |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
13 |
13 |
$25.02 |
| A0998 |
Ambulance response and treatment, no transport |
89 |
86 |
$0.00 |