| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
130,846 |
110,438 |
$23.02M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
54,193 |
47,932 |
$10.14M |
| A0425 |
Ground mileage, per statute mile |
185,701 |
153,352 |
$4.38M |
| A0433 |
Advanced life support, level 2 (als 2) |
708 |
677 |
$180K |
| A0398 |
Als routine disposable supplies |
1,055 |
929 |
$19K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
737 |
613 |
$9K |
| A0382 |
Bls routine disposable supplies |
27 |
25 |
$188.13 |
| A0998 |
Ambulance response and treatment, no transport |
29 |
26 |
$0.00 |