| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,546 |
1,358 |
$207K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,046 |
839 |
$102K |
| A0425 |
Ground mileage, per statute mile |
2,961 |
2,411 |
$42K |
| A0382 |
Bls routine disposable supplies |
3,138 |
1,204 |
$16K |
| A0392 |
Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances) |
14 |
13 |
$8.31 |