| Code | Description | Claims | Beneficiaries | Total Paid |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
17,839 |
14,736 |
$6.12M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,369 |
4,705 |
$2.01M |
| A0425 |
Ground mileage, per statute mile |
26,972 |
20,943 |
$1.67M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,248 |
2,833 |
$1.06M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
785 |
691 |
$287K |
| A0398 |
Als routine disposable supplies |
6,244 |
5,369 |
$118K |
| A0382 |
Bls routine disposable supplies |
20,635 |
16,571 |
$113K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
223 |
192 |
$10K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,055 |
907 |
$10K |
| A0392 |
Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances) |
89 |
80 |
$6.86 |