| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
78,310 |
40,019 |
$6.60M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
29,988 |
23,620 |
$4.72M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
13,235 |
10,798 |
$1.28M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
35,287 |
9,892 |
$1.10M |
| A0398 |
Als routine disposable supplies |
18,222 |
14,099 |
$252K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
8,183 |
6,727 |
$169K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
2,241 |
1,802 |
$99K |
| A0382 |
Bls routine disposable supplies |
9,525 |
7,095 |
$98K |
| A0998 |
Ambulance response and treatment, no transport |
4,425 |
3,996 |
$38K |
| A0434 |
Specialty care transport (sct) |
72 |
54 |
$7K |
| 94760 |
|
72 |
54 |
$81.26 |