| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,676 |
3,305 |
$1.22M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,290 |
1,980 |
$815K |
| A0425 |
Ground mileage, per statute mile |
6,086 |
5,299 |
$78K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
1,873 |
1,666 |
$29K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
31 |
27 |
$265.29 |
| A0398 |
Als routine disposable supplies |
710 |
606 |
$200.86 |
| A0382 |
Bls routine disposable supplies |
336 |
285 |
$39.12 |
| A0999 |
Unlisted ambulance service |
275 |
236 |
$10.17 |