| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,935 |
2,740 |
$2.18M |
| A0425 |
Ground mileage, per statute mile |
4,804 |
4,407 |
$1.38M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,869 |
1,801 |
$1.37M |
| A0998 |
Ambulance response and treatment, no transport |
37 |
37 |
$55K |
| A0398 |
Als routine disposable supplies |
1,336 |
1,291 |
$29K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
310 |
298 |
$26K |
| A0382 |
Bls routine disposable supplies |
2,473 |
2,307 |
$22K |