| Code | Description | Claims | Beneficiaries | Total Paid |
| A0999 |
Unlisted ambulance service |
2,311 |
2,034 |
$1.44M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,049 |
1,854 |
$159K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,333 |
2,015 |
$139K |
| A0425 |
Ground mileage, per statute mile |
5,008 |
4,156 |
$119K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
14 |
13 |
$692.04 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
702 |
635 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
569 |
509 |
$0.00 |