| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,969 |
3,527 |
$2.96M |
| A0425 |
Ground mileage, per statute mile |
4,898 |
4,263 |
$35K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
172 |
140 |
$17K |
| A0398 |
Als routine disposable supplies |
3,537 |
3,030 |
$122.15 |
| A0382 |
Bls routine disposable supplies |
3,706 |
3,093 |
$49.87 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
26 |
14 |
$0.00 |
| A0999 |
Unlisted ambulance service |
2,114 |
1,937 |
$0.00 |