| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,758 |
4,047 |
$579K |
| A0380 |
Bls mileage (per mile) |
5,672 |
4,141 |
$458K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,991 |
4,183 |
$400K |
| A0390 |
Als mileage (per mile) |
3,365 |
2,883 |
$349K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
10,247 |
7,027 |
$325K |
| A0434 |
Specialty care transport (sct) |
781 |
646 |
$135K |
| A0425 |
Ground mileage, per statute mile |
12,698 |
8,966 |
$46K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,760 |
1,454 |
$24K |
| A0398 |
Als routine disposable supplies |
1,508 |
1,368 |
$16K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
246 |
183 |
$11K |
| A0999 |
Unlisted ambulance service |
311 |
231 |
$2K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
85 |
41 |
$469.76 |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
29 |
26 |
$0.00 |