| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,511 |
3,640 |
$3.13M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,248 |
1,040 |
$128K |
| A0425 |
Ground mileage, per statute mile |
6,729 |
4,909 |
$63K |
| A0382 |
Bls routine disposable supplies |
3,889 |
2,876 |
$2K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
34 |
25 |
$1K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
145 |
118 |
$0.00 |
| A0999 |
Unlisted ambulance service |
3,344 |
2,666 |
$0.00 |