| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,430 |
1,909 |
$312K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
367 |
284 |
$68K |
| A0380 |
Bls mileage (per mile) |
1,522 |
1,236 |
$26K |
| A0998 |
Ambulance response and treatment, no transport |
79 |
65 |
$5K |
| A0390 |
Als mileage (per mile) |
151 |
115 |
$2K |
| A0425 |
Ground mileage, per statute mile |
299 |
220 |
$712.58 |
| A0382 |
Bls routine disposable supplies |
166 |
107 |
$586.24 |