| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
11,828 |
11,029 |
$2.26M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
7,525 |
6,247 |
$710K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,185 |
3,091 |
$658K |
| A0425 |
Ground mileage, per statute mile |
24,263 |
21,713 |
$452K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,826 |
1,769 |
$272K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
1,590 |
1,518 |
$33K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
3,291 |
2,969 |
$11K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,830 |
3,720 |
$6K |
| 94760 |
|
140 |
130 |
$426.66 |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
29 |
26 |
$165.44 |