| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
11,970 |
8,159 |
$1.19M |
| A0425 |
Ground mileage, per statute mile |
24,687 |
12,896 |
$811K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,500 |
3,656 |
$455K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
5,723 |
1,846 |
$20K |
| A0433 |
Advanced life support, level 2 (als 2) |
61 |
50 |
$12K |
| A0398 |
Als routine disposable supplies |
1,711 |
1,284 |
$8K |
| A0382 |
Bls routine disposable supplies |
400 |
236 |
$1K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
173 |
115 |
$297.91 |