| Code | Description | Claims | Beneficiaries | Total Paid |
| A0398 |
Als routine disposable supplies |
3,434 |
2,961 |
$608K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,684 |
5,533 |
$441K |
| A0425 |
Ground mileage, per statute mile |
12,579 |
8,978 |
$243K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,026 |
3,490 |
$216K |
| A0382 |
Bls routine disposable supplies |
39 |
38 |
$5K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
908 |
650 |
$5K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
531 |
440 |
$4K |