| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
13,395 |
10,746 |
$2.49M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
7,046 |
5,629 |
$1.12M |
| A0425 |
Ground mileage, per statute mile |
21,141 |
16,513 |
$760K |
| A0398 |
Als routine disposable supplies |
9,480 |
7,723 |
$137K |
| A0382 |
Bls routine disposable supplies |
5,460 |
4,594 |
$75K |
| A0433 |
Advanced life support, level 2 (als 2) |
112 |
99 |
$31K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
854 |
698 |
$10K |