| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,058 |
6,166 |
$1.03M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,828 |
2,871 |
$414K |
| A0425 |
Ground mileage, per statute mile |
12,573 |
9,200 |
$273K |
| A0398 |
Als routine disposable supplies |
2,937 |
2,418 |
$39K |
| A0382 |
Bls routine disposable supplies |
6,258 |
3,200 |
$34K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
738 |
396 |
$4K |
| A0433 |
Advanced life support, level 2 (als 2) |
12 |
12 |
$3K |
| A0998 |
Ambulance response and treatment, no transport |
1,352 |
593 |
$70.63 |
| A0392 |
Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances) |
857 |
353 |
$0.00 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
1,513 |
666 |
$0.00 |