| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
30,617 |
28,203 |
$1.52M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
9,437 |
8,933 |
$1.41M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
16,385 |
15,048 |
$1.06M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,593 |
3,390 |
$624K |
| A0434 |
Specialty care transport (sct) |
993 |
969 |
$232K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,013 |
1,958 |
$198K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
2,035 |
1,973 |
$69K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,436 |
2,379 |
$20K |
| A0382 |
Bls routine disposable supplies |
4,258 |
3,989 |
$15K |
| A0999 |
Unlisted ambulance service |
1,830 |
1,776 |
$14K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
786 |
761 |
$12K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
831 |
807 |
$8K |
| A0398 |
Als routine disposable supplies |
817 |
770 |
$4K |