| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,129 |
4,655 |
$757K |
| A0425 |
Ground mileage, per statute mile |
15,177 |
10,791 |
$499K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
8,076 |
6,822 |
$434K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,533 |
1,382 |
$172K |
| A0398 |
Als routine disposable supplies |
1,893 |
1,725 |
$26K |
| A0382 |
Bls routine disposable supplies |
176 |
139 |
$2K |