| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
14,326 |
11,073 |
$2.86M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,815 |
4,365 |
$1.09M |
| A0425 |
Ground mileage, per statute mile |
23,931 |
16,427 |
$837K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
4,440 |
3,302 |
$340K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
2,039 |
1,853 |
$65K |
| A0998 |
Ambulance response and treatment, no transport |
268 |
237 |
$51K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
120 |
115 |
$13K |