| Code | Description | Claims | Beneficiaries | Total Paid |
| A0398 |
Als routine disposable supplies |
2,676 |
2,450 |
$487K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,068 |
4,446 |
$399K |
| A0425 |
Ground mileage, per statute mile |
7,887 |
6,355 |
$238K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,919 |
1,714 |
$114K |
| A0382 |
Bls routine disposable supplies |
288 |
274 |
$40K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
742 |
675 |
$6K |
| T2005 |
Non-emergency transportation; stretcher van |
38 |
27 |
$1K |