| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
25,646 |
19,961 |
$4.06M |
| A0425 |
Ground mileage, per statute mile |
36,368 |
26,371 |
$1.12M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
6,030 |
4,703 |
$577K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,736 |
2,323 |
$370K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,766 |
1,447 |
$241K |
| A0398 |
Als routine disposable supplies |
6,861 |
5,873 |
$76K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,027 |
911 |
$17K |