| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
17,052 |
14,834 |
$1.20M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
7,651 |
6,121 |
$766K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,900 |
3,651 |
$514K |
| A0434 |
Specialty care transport (sct) |
3,224 |
3,095 |
$463K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,703 |
1,572 |
$272K |
| 93041 |
|
2,804 |
2,739 |
$42K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,111 |
1,077 |
$10K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
452 |
428 |
$7K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
56 |
55 |
$3K |
| A0225 |
Ambulance service, neonatal transport, base rate, emergency transport, one way |
13 |
13 |
$2K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
14 |
12 |
$196.84 |