| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
32,882 |
14,705 |
$1.07M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
15,948 |
4,932 |
$583K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,254 |
5,470 |
$469K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
8,245 |
5,689 |
$444K |
| A0382 |
Bls routine disposable supplies |
782 |
514 |
$3K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
56 |
38 |
$750.00 |