| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Als1-emergency |
38,863 |
28,030 |
$8.95M |
| A0425 |
Ground mileage |
75,130 |
42,610 |
$3.80M |
| A0429 |
Bls-emergency |
16,873 |
12,482 |
$2.37M |
| A0428 |
Bls |
21,925 |
8,471 |
$775K |
| A0394 |
Als iv drug therapy supplies |
10,135 |
7,429 |
$216K |
| A0422 |
Ambulance 02 life sustaining |
3,957 |
2,904 |
$162K |
| A0398 |
Als routine disposble suppls |
14,998 |
8,182 |
$101K |
| A0382 |
Basic support routine suppls |
11,155 |
6,862 |
$81K |
| A0426 |
Als 1 |
1,792 |
1,188 |
$47K |
| A0433 |
Als 2 |
95 |
82 |
$41K |
| A0396 |
Als esophageal intub suppls |
10,466 |
5,590 |
$418.54 |
| A0999 |
Unlisted ambulance service |
889 |
327 |
$31.63 |
| J3490 |
Drugs unclassified injection |
369 |
235 |
$0.00 |
| A0888 |
Noncovered ambulance mileage |
598 |
444 |
$0.00 |
| A0392 |
Als defibrillation supplies |
606 |
478 |
$0.00 |
| 93005 |
|
204 |
168 |
$0.00 |