| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
20,473 |
15,262 |
$4.62M |
| A0425 |
Ground mileage, per statute mile |
35,064 |
21,696 |
$2.78M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
8,362 |
6,691 |
$1.07M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
6,166 |
1,826 |
$363K |
| A0398 |
Als routine disposable supplies |
16,263 |
12,021 |
$161K |
| A0382 |
Bls routine disposable supplies |
12,865 |
7,491 |
$59K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
356 |
302 |
$26K |