| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
72,494 |
64,109 |
$13.65M |
| A0425 |
Ground mileage, per statute mile |
274,917 |
186,435 |
$12.77M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
50,839 |
46,100 |
$8.97M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
139,270 |
80,576 |
$8.72M |
| A0434 |
Specialty care transport (sct) |
6,425 |
6,174 |
$2.25M |
| A0382 |
Bls routine disposable supplies |
79,287 |
53,335 |
$1.02M |
| A0398 |
Als routine disposable supplies |
41,330 |
36,454 |
$687K |
| A0433 |
Advanced life support, level 2 (als 2) |
1,073 |
1,027 |
$326K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
4,291 |
3,970 |
$234K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
15,095 |
11,186 |
$161K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
1,575 |
937 |
$19K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
65 |
57 |
$1K |