| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,595 |
3,844 |
$647K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,265 |
4,197 |
$630K |
| A0380 |
Bls mileage (per mile) |
3,503 |
2,728 |
$73K |
| A0390 |
Als mileage (per mile) |
3,015 |
2,559 |
$68K |
| A0382 |
Bls routine disposable supplies |
1,886 |
1,458 |
$24K |
| A0398 |
Als routine disposable supplies |
2,900 |
1,530 |
$23K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
923 |
824 |
$21K |
| A0425 |
Ground mileage, per statute mile |
4,033 |
3,124 |
$6K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
101 |
92 |
$1K |