| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
19,321 |
15,069 |
$1.97M |
| A0425 |
Ground mileage, per statute mile |
21,341 |
16,576 |
$327K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,546 |
1,306 |
$161K |
| A0382 |
Bls routine disposable supplies |
2,459 |
2,086 |
$21K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
370 |
329 |
$4K |
| A0398 |
Als routine disposable supplies |
562 |
454 |
$456.17 |
| A0999 |
Unlisted ambulance service |
18 |
17 |
$0.00 |