| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
48,999 |
41,501 |
$8.71M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
21,285 |
18,197 |
$3.93M |
| A0425 |
Ground mileage, per statute mile |
73,892 |
57,130 |
$736K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
4,641 |
4,133 |
$384K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
86 |
84 |
$15K |
| T1015 |
Clinic visit/encounter, all-inclusive |
41 |
41 |
$7K |
| L0140 |
Cervical, semi-rigid, adjustable (plastic collar) |
128 |
125 |
$4K |
| A0384 |
Bls specialized service disposable supplies; defibrillation (used by als ambulances and bls ambulances in jurisdictions where defibrillation is permitted in bls ambulances) |
15 |
15 |
$0.00 |