| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
29,474 |
23,661 |
$3.12M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
20,399 |
15,488 |
$1.80M |
| A0433 |
Advanced life support, level 2 (als 2) |
596 |
515 |
$90K |
| 99199 |
Unlisted special service, procedure or report |
17,053 |
14,886 |
$81K |
| A0425 |
Ground mileage, per statute mile |
22,747 |
18,645 |
$10K |
| A0998 |
Ambulance response and treatment, no transport |
315 |
145 |
$8K |
| A0398 |
Als routine disposable supplies |
279 |
253 |
$60.00 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
194 |
182 |
$30.00 |
| A0382 |
Bls routine disposable supplies |
63 |
57 |
$0.00 |