| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
13,944 |
11,476 |
$2.63M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
9,220 |
7,566 |
$1.31M |
| A0998 |
Ambulance response and treatment, no transport |
7,194 |
4,821 |
$341K |
| A0390 |
Als mileage (per mile) |
10,134 |
8,475 |
$157K |
| A0398 |
Als routine disposable supplies |
7,015 |
5,657 |
$117K |
| A0380 |
Bls mileage (per mile) |
6,426 |
5,414 |
$96K |
| A0382 |
Bls routine disposable supplies |
5,590 |
4,469 |
$79K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
2,083 |
1,900 |
$59K |
| A0425 |
Ground mileage, per statute mile |
6,354 |
5,081 |
$24K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
211 |
170 |
$3K |
| A0999 |
Unlisted ambulance service |
31 |
25 |
$328.60 |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
703 |
524 |
$0.00 |