| Code | Description | Claims | Beneficiaries | Total Paid |
| A0999 |
Unlisted ambulance service |
17,628 |
15,823 |
$45.62M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
14,253 |
13,171 |
$1.42M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
11,139 |
10,063 |
$1.00M |
| A0425 |
Ground mileage, per statute mile |
26,172 |
23,358 |
$663K |
| A0433 |
Advanced life support, level 2 (als 2) |
304 |
291 |
$38K |
| 93005 |
|
7,632 |
6,958 |
$62.12 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
13,917 |
10,516 |
$49.31 |
| A0398 |
Als routine disposable supplies |
3,254 |
2,965 |
$0.00 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
7,247 |
6,446 |
$0.00 |
| 94760 |
|
39 |
39 |
$0.00 |
| A0382 |
Bls routine disposable supplies |
626 |
593 |
$0.00 |