| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
15,394 |
12,356 |
$1.73M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,559 |
4,936 |
$1.39M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,320 |
5,726 |
$1.33M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,864 |
2,678 |
$295K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,523 |
3,257 |
$53K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
440 |
398 |
$4K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
61 |
60 |
$3K |