| Code | Description | Claims | Beneficiaries | Total Paid |
| A0999 |
Unlisted ambulance service |
28,794 |
24,741 |
$75.13M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
20,706 |
18,820 |
$2.05M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
24,526 |
20,900 |
$1.78M |
| A0425 |
Ground mileage, per statute mile |
45,608 |
39,119 |
$593K |
| A0998 |
Ambulance response and treatment, no transport |
2,230 |
1,936 |
$229K |
| A0433 |
Advanced life support, level 2 (als 2) |
89 |
83 |
$9K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
104 |
92 |
$0.00 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
168 |
126 |
$0.00 |
| J2310 |
Injection, naloxone hydrochloride, per 1 mg |
16 |
16 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
13 |
13 |
$0.00 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
215 |
163 |
$0.00 |
| J3490 |
Unclassified drugs |
131 |
90 |
$0.00 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
25 |
16 |
$0.00 |
| A4772 |
Blood glucose test strips, for dialysis, per 50 |
270 |
224 |
$0.00 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
506 |
409 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
29 |
18 |
$0.00 |