| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
19,273 |
14,051 |
$1.19M |
| A0425 |
Ground mileage, per statute mile |
29,400 |
19,304 |
$646K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
6,780 |
5,166 |
$293K |
| A0398 |
Als routine disposable supplies |
932 |
782 |
$171K |
| T2005 |
Non-emergency transportation; stretcher van |
539 |
382 |
$10K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,049 |
1,471 |
$7K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
196 |
173 |
$2K |
| A0998 |
Ambulance response and treatment, no transport |
30 |
25 |
$395.76 |
| A0433 |
Advanced life support, level 2 (als 2) |
17 |
13 |
$0.00 |