| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
13,440 |
12,075 |
$2.20M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
7,194 |
6,192 |
$1.05M |
| A0425 |
Ground mileage, per statute mile |
30,882 |
21,323 |
$766K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
9,192 |
5,305 |
$546K |
| A0398 |
Als routine disposable supplies |
6,713 |
5,633 |
$47K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,886 |
1,384 |
$18K |
| A0382 |
Bls routine disposable supplies |
114 |
109 |
$1K |
| A0998 |
Ambulance response and treatment, no transport |
1,847 |
1,616 |
$0.00 |