| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,114 |
3,468 |
$931K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,907 |
3,243 |
$479K |
| A0425 |
Ground mileage, per statute mile |
8,086 |
6,506 |
$206K |
| A0398 |
Als routine disposable supplies |
1,463 |
1,303 |
$34K |
| A0382 |
Bls routine disposable supplies |
1,294 |
1,131 |
$17K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
67 |
63 |
$5K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
15 |
13 |
$2K |