| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
20,812 |
18,632 |
$3.35M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
7,230 |
6,032 |
$1.10M |
| A0425 |
Ground mileage, per statute mile |
28,425 |
24,207 |
$358K |
| A0398 |
Als routine disposable supplies |
8,949 |
7,975 |
$148K |
| A0382 |
Bls routine disposable supplies |
4,197 |
3,383 |
$64K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
278 |
266 |
$4K |
| A0434 |
Specialty care transport (sct) |
15 |
15 |
$3K |