| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
9,771 |
8,804 |
$4.28M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,339 |
3,060 |
$1.25M |
| A0425 |
Ground mileage, per statute mile |
13,482 |
11,873 |
$679K |
| A0998 |
Ambulance response and treatment, no transport |
205 |
203 |
$135K |
| A0382 |
Bls routine disposable supplies |
821 |
682 |
$3K |
| A0398 |
Als routine disposable supplies |
397 |
343 |
$875.16 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
39 |
24 |
$0.00 |
| A0384 |
Bls specialized service disposable supplies; defibrillation (used by als ambulances and bls ambulances in jurisdictions where defibrillation is permitted in bls ambulances) |
15 |
12 |
$0.00 |