| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
14,106 |
10,942 |
$1.22M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
7,891 |
6,882 |
$698K |
| A0425 |
Ground mileage, per statute mile |
22,441 |
17,399 |
$92K |
| A0998 |
Ambulance response and treatment, no transport |
107 |
102 |
$18K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,549 |
1,252 |
$15K |
| 93041 |
|
3,707 |
3,315 |
$12K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,234 |
1,160 |
$11K |
| A0382 |
Bls routine disposable supplies |
334 |
295 |
$7K |
| A0398 |
Als routine disposable supplies |
212 |
205 |
$5K |