| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,934 |
7,519 |
$1.69M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,341 |
3,677 |
$735K |
| A0425 |
Ground mileage, per statute mile |
13,606 |
11,189 |
$388K |
| A0398 |
Als routine disposable supplies |
6,748 |
5,617 |
$94K |
| A0382 |
Bls routine disposable supplies |
3,295 |
2,820 |
$47K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
615 |
550 |
$7K |
| A0433 |
Advanced life support, level 2 (als 2) |
12 |
12 |
$4K |
| A0998 |
Ambulance response and treatment, no transport |
882 |
815 |
$0.00 |