| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
33,301 |
28,475 |
$3.43M |
| A0380 |
Bls mileage (per mile) |
27,211 |
21,165 |
$988K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
13,059 |
9,498 |
$381K |
| A0998 |
Ambulance response and treatment, no transport |
4,212 |
3,752 |
$289K |
| A0434 |
Specialty care transport (sct) |
1,314 |
1,139 |
$258K |
| A0390 |
Als mileage (per mile) |
2,335 |
2,021 |
$258K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,422 |
2,227 |
$209K |
| A0425 |
Ground mileage, per statute mile |
21,021 |
15,885 |
$96K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,831 |
1,491 |
$22K |
| A0382 |
Bls routine disposable supplies |
2,180 |
1,974 |
$14K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
479 |
421 |
$9K |
| A0398 |
Als routine disposable supplies |
404 |
367 |
$5K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
65 |
51 |
$2K |