| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
10,527 |
9,243 |
$925K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,590 |
4,333 |
$755K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,285 |
3,114 |
$462K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,156 |
1,014 |
$84K |
| A0382 |
Bls routine disposable supplies |
1,950 |
1,758 |
$23K |
| A0398 |
Als routine disposable supplies |
411 |
354 |
$6K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
15 |
13 |
$193.26 |
| A0999 |
Unlisted ambulance service |
339 |
311 |
$161.84 |