| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
978 |
847 |
$75K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
750 |
655 |
$48K |
| A0425 |
Ground mileage, per statute mile |
1,738 |
1,438 |
$46K |
| A0998 |
Ambulance response and treatment, no transport |
236 |
167 |
$12K |
| A0398 |
Als routine disposable supplies |
548 |
505 |
$5K |
| A0382 |
Bls routine disposable supplies |
390 |
362 |
$577.81 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
37 |
36 |
$321.00 |