| Code | Description | Claims | Beneficiaries | Total Paid |
| A0398 |
Als routine disposable supplies |
3,991 |
3,591 |
$709K |
| A0425 |
Ground mileage, per statute mile |
18,384 |
13,522 |
$608K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
9,328 |
8,078 |
$604K |
| A0382 |
Bls routine disposable supplies |
2,313 |
2,098 |
$299K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,266 |
4,681 |
$265K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
2,343 |
2,017 |
$20K |
| T2005 |
Non-emergency transportation; stretcher van |
307 |
262 |
$13K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,777 |
1,927 |
$8K |