| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,620 |
2,792 |
$572K |
| A0425 |
Ground mileage, per statute mile |
6,931 |
4,083 |
$345K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,456 |
381 |
$118K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,422 |
1,132 |
$83K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
126 |
90 |
$3K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
104 |
94 |
$2K |
| A0398 |
Als routine disposable supplies |
125 |
106 |
$312.85 |