| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
32,415 |
26,413 |
$5.60M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
19,012 |
15,997 |
$3.90M |
| A0425 |
Ground mileage, per statute mile |
48,028 |
33,752 |
$2.30M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
7,410 |
4,461 |
$470K |
| A0434 |
Specialty care transport (sct) |
53 |
39 |
$14K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
50 |
47 |
$7K |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
9,684 |
7,563 |
$910.27 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
208 |
160 |
$312.75 |
| A0398 |
Als routine disposable supplies |
372 |
289 |
$117.76 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
45 |
39 |
$14.23 |