| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
8,258 |
6,902 |
$884K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,499 |
2,326 |
$316K |
| A0425 |
Ground mileage, per statute mile |
10,844 |
8,913 |
$113K |
| A0382 |
Bls routine disposable supplies |
3,078 |
2,554 |
$40K |
| A0398 |
Als routine disposable supplies |
624 |
562 |
$8K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
66 |
58 |
$767.28 |
| A0998 |
Ambulance response and treatment, no transport |
14 |
12 |
$0.00 |