| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,346 |
3,888 |
$3.40M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
542 |
450 |
$55K |
| A0425 |
Ground mileage, per statute mile |
5,437 |
4,752 |
$22K |
| A0382 |
Bls routine disposable supplies |
3,985 |
3,430 |
$4K |
| A0398 |
Als routine disposable supplies |
3,867 |
3,372 |
$38.00 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
101 |
94 |
$22.16 |
| A0999 |
Unlisted ambulance service |
2,205 |
2,059 |
$0.00 |