| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
869 |
701 |
$140K |
| A0425 |
Ground mileage, per statute mile |
1,843 |
1,681 |
$102K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
654 |
575 |
$93K |
| A0225 |
Ambulance service, neonatal transport, base rate, emergency transport, one way |
179 |
175 |
$29K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
12 |
12 |
$647.39 |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
53 |
49 |
$638.20 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
72 |
69 |
$381.48 |