| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
7,501 |
6,443 |
$1.31M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,275 |
2,880 |
$511K |
| A0425 |
Ground mileage, per statute mile |
11,794 |
9,925 |
$296K |
| A0398 |
Als routine disposable supplies |
4,160 |
3,457 |
$63K |
| A0433 |
Advanced life support, level 2 (als 2) |
100 |
96 |
$32K |
| A0382 |
Bls routine disposable supplies |
1,986 |
1,781 |
$26K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
386 |
366 |
$10K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
536 |
444 |
$6K |
| A0998 |
Ambulance response and treatment, no transport |
152 |
145 |
$0.00 |