| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
23,255 |
17,125 |
$2.06M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
14,009 |
11,279 |
$1.38M |
| A0425 |
Ground mileage, per statute mile |
37,513 |
27,168 |
$212K |
| A0998 |
Ambulance response and treatment, no transport |
3,209 |
2,732 |
$5K |
| A0382 |
Bls routine disposable supplies |
822 |
703 |
$489.62 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
62 |
54 |
$2.00 |