| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
10,529 |
8,639 |
$1.91M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,826 |
5,722 |
$1.29M |
| A0425 |
Ground mileage, per statute mile |
17,808 |
14,375 |
$645K |
| A0382 |
Bls routine disposable supplies |
102 |
82 |
$0.00 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
69 |
63 |
$0.00 |
| A0398 |
Als routine disposable supplies |
587 |
517 |
$0.00 |