| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
10,798 |
9,131 |
$1.77M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,592 |
7,719 |
$1.61M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
17,466 |
8,629 |
$1.12M |
| A0425 |
Ground mileage, per statute mile |
34,731 |
23,482 |
$607K |
| A0434 |
Specialty care transport (sct) |
873 |
862 |
$314K |
| A0130 |
Non-emergency transportation: wheelchair van |
10,033 |
2,084 |
$255K |
| S0215 |
Non-emergency transportation; mileage, per mile |
8,497 |
1,776 |
$114K |
| A0999 |
Unlisted ambulance service |
12,110 |
9,112 |
$59K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
374 |
352 |
$49K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
43 |
41 |
$5K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
12 |
12 |
$4K |