| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,983 |
2,312 |
$857K |
| A0425 |
Ground mileage, per statute mile |
3,416 |
2,620 |
$218K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
156 |
129 |
$16K |
| A0398 |
Als routine disposable supplies |
45 |
42 |
$0.00 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
1,765 |
966 |
$0.00 |
| A0392 |
Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances) |
543 |
422 |
$0.00 |
| A0382 |
Bls routine disposable supplies |
5,342 |
1,900 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
26 |
25 |
$0.00 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
236 |
183 |
$0.00 |