| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
11,811 |
9,793 |
$2.71M |
| A0425 |
Ground mileage, per statute mile |
12,211 |
9,784 |
$627K |
| 93041 |
|
6,826 |
5,840 |
$107K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
377 |
305 |
$49K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
2,077 |
1,826 |
$20K |
| A0433 |
Advanced life support, level 2 (als 2) |
1,441 |
1,269 |
$16K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
29 |
26 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
74 |
67 |
$1K |