| Code | Description | Claims | Beneficiaries | Total Paid |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
14,727 |
9,098 |
$779K |
| A0425 |
Ground mileage, per statute mile |
17,279 |
10,881 |
$242K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,050 |
1,913 |
$191K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
685 |
532 |
$14K |
| A0434 |
Specialty care transport (sct) |
83 |
60 |
$13K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
248 |
214 |
$10K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
519 |
302 |
$5K |
| A0382 |
Bls routine disposable supplies |
800 |
530 |
$1K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
68 |
53 |
$668.33 |