| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
2,854 |
2,434 |
$458K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,106 |
1,718 |
$439K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
14 |
13 |
$6K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
18 |
15 |
$6K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
110 |
96 |
$709.58 |