| Code | Description | Claims | Beneficiaries | Total Paid |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
48,007 |
36,886 |
$5.02M |
| A0434 |
Specialty care transport (sct) |
9,910 |
9,116 |
$3.47M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
10,711 |
10,299 |
$2.74M |
| A0425 |
Ground mileage, per statute mile |
72,333 |
59,111 |
$2.19M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,281 |
1,238 |
$333K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
608 |
598 |
$190K |
| A0999 |
Unlisted ambulance service |
11,598 |
10,188 |
$78K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
3,065 |
2,711 |
$48K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
7,458 |
5,781 |
$36K |
| A0382 |
Bls routine disposable supplies |
25,842 |
20,565 |
$28K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
616 |
554 |
$27K |
| A0998 |
Ambulance response and treatment, no transport |
28 |
26 |
$4K |
| A0396 |
Als specialized service disposable supplies; esophageal intubation |
1,193 |
999 |
$1K |
| A0380 |
Bls mileage (per mile) |
42 |
42 |
$531.62 |