| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
8,210 |
7,108 |
$6.61M |
| A0425 |
Ground mileage, per statute mile |
9,163 |
7,861 |
$56K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
480 |
428 |
$40K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,144 |
1,000 |
$3K |
| A0382 |
Bls routine disposable supplies |
4,332 |
1,333 |
$79.79 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
47 |
27 |
$0.00 |