| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
6,606 |
5,534 |
$4.57M |
| A0425 |
Ground mileage, per statute mile |
8,159 |
6,445 |
$85K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
377 |
292 |
$19K |
| A0398 |
Als routine disposable supplies |
8,077 |
6,387 |
$12K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,970 |
1,648 |
$9K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
29 |
24 |
$2K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
1,619 |
1,387 |
$102.35 |