| Code | Description | Claims | Beneficiaries | Total Paid |
| A0398 |
Als routine disposable supplies |
2,315 |
2,159 |
$411K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,466 |
4,078 |
$356K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,953 |
1,752 |
$127K |
| A0425 |
Ground mileage, per statute mile |
6,457 |
5,773 |
$100K |
| A0382 |
Bls routine disposable supplies |
585 |
553 |
$78K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
79 |
78 |
$731.00 |