| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,659 |
2,457 |
$752K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,750 |
1,634 |
$466K |
| A0425 |
Ground mileage, per statute mile |
4,642 |
4,243 |
$150K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,373 |
1,320 |
$12K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
24 |
24 |
$221.94 |