| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
12,645 |
9,433 |
$2.73M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,876 |
5,100 |
$1.35M |
| A0425 |
Ground mileage, per statute mile |
18,542 |
13,774 |
$154K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
1,952 |
1,774 |
$62K |
| A0998 |
Ambulance response and treatment, no transport |
40 |
32 |
$8K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
148 |
125 |
$2K |
| A0398 |
Als routine disposable supplies |
110 |
105 |
$0.00 |