| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,052 |
976 |
$70K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
413 |
368 |
$17K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
916 |
869 |
$16K |
| A0425 |
Ground mileage, per statute mile |
1,664 |
1,530 |
$14K |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
916 |
830 |
$5.79 |
| A0382 |
Bls routine disposable supplies |
104 |
91 |
$0.00 |
| A0398 |
Als routine disposable supplies |
310 |
217 |
$0.00 |