| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
16,165 |
11,517 |
$1.85M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
6,024 |
4,579 |
$652K |
| A0425 |
Ground mileage, per statute mile |
14,545 |
10,308 |
$99K |
| 99199 |
Unlisted special service, procedure or report |
4,574 |
4,246 |
$22K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,304 |
1,053 |
$18K |
| A0398 |
Als routine disposable supplies |
14 |
12 |
$0.00 |